Sara Nicole Falconer, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040.0134686 Issued in VT

Practice address

905 Roosevelt Hwy Ste 100
Colchester, VT 05446-4475

Phone

(802) 861-0111

NPI assigned

Apr 16, 2024

Last updated

Apr 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT, AK2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

University of Vermont College of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rebound Sports and Orthopedic Physical Therapy LLCGroup PAC ID 6204834906, 15 clinicians

The Rehabgym IncGroup PAC ID 5092619411, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• The Rehabgym Inc

  • Physical Therapist
  • Williston, VT
  • NPI 1750421772
  Medicare reassignment Care Compare group NPD
• Rebound Sports and Orthopedic Physical Therapy, LLC

  • Physical Therapist
  • Anchorage, AK
  • NPI 1407888902
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1598519506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 TAMARACK LN STE 2",
            "city": "WATERBURY CENTER",
            "state": "VT",
            "postal_code": "056774415",
            "telephone_number": "907-575-9712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 ROOSEVELT HWY STE 100",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054464475",
            "telephone_number": "802-861-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALCONER",
        "first_name": "SARA",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0134686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Evelyn Etherington, RN
• Trudee Ettlinger, PH.D., APRN, LADC
• Sarah Evans
• Evolution Psychotherapy, PLLC
• Merrick Fahrenwald
• Family First Chiropractic, Inc
• Sarah Farrell, MA
• Chad Kay Fellows, OD
• Angela Sue Fereday-Parent, MA
• Eric Judd Feuer, DMD

• Physical Therapist in Colchester, VT
• Providers in Colchester, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.