Active NPI
Sarah L Mischke
- Physical Therapy Assistant
- Casper, WY
National Provider Identifier
1588096002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 0794
- Practice address
- 4305 S Poplar St
Casper, WY 82601-6106 - Phone
- (307) 752-8232
- NPI assigned
- Aug 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 0794 | WY | Primary |
| Physical Therapy Assistant | 225200000X | 0410052734 | VT |
Addresses
Primary practice location
4305 S Poplar St
Casper, WY 82601-6106
Mailing address
PO Box 503
Dayton, WY 82836-0503
Phone (307) 752-8232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0410052734 | VT | MD | Physical Therapy Assistant |
| 0794 | WY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375833600000",
"number": "1588096002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 503",
"city": "DAYTON",
"state": "WY",
"postal_code": "828360503",
"telephone_number": "307-752-8232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4305 S POPLAR ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826016106",
"telephone_number": "307-752-8232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISCHKE",
"first_name": "SARAH",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-07",
"last_updated": "2013-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WY",
"license": "0794",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VT",
"license": "0410052734",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.