Individual provider Active NPI

Sarah Renee Eads, DPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1598026502
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1218209 Issued in TX
Practice address
4730 Shavano Oak Ste 205
San Antonio, TX 78249-4029
Phone
(210) 526-2428
Fax
(210) 817-8684
NPI assigned
Jun 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1218209 TX Primary

Addresses

Primary practice location

4730 Shavano Oak Ste 205
San Antonio, TX 78249-4029

Mailing address

4730 Shavano Oak Ste 205
San Antonio, TX 78249-4029
Phone (210) 526-2428

Other names 1

  • Sarah Renee Idriss Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL intakeq Direct

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1218209TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Method Wellness and Physical Therapy Physical Therapist Current Accepting new patients
Sports Medicine Associates of San Antonio, PA Physical Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1598026502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 SHAVANO OAK STE 205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782494029",
            "telephone_number": "210-526-2428",
            "fax_number": "210-561-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 SHAVANO OAK STE 205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782494029",
            "telephone_number": "210-526-2428",
            "fax_number": "210-817-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EADS",
        "first_name": "SARAH",
        "middle_name": "RENEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1218209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "intakeq",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4730 Shavano Oak Ste 205",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782494029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "IDRISS",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.