Sarah Ann Boland, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2019006629 Issued in MO

Practice address

507 Huck Finn Shopping Ctr
Hannibal, MO 63401-2295

Phone

(573) 248-1350

Fax

(573) 248-1649

NPI assigned

Jun 5, 2019

Last updated

Sep 13, 2021By 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 2

Addresses

Other identifiers 2

Other names 1

• Sarah Ann Wheeler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• First Choice Physical Therapy of Hannibal, LLC

  • Physical Therapist
  • Hannibal, MO
  • NPI 1871601088
  NPD (past)

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1609434448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2638 MANOR HILL DR",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623016350",
            "telephone_number": "217-430-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 HUCK FINN SHOPPING CTR",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634012295",
            "telephone_number": "573-248-1350",
            "fax_number": "573-248-1649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1118 Hampshire St # 1025",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "IL",
            "postal_code": "623013027",
            "country_code": "US",
            "telephone_number": "217-222-6550",
            "fax_number": "217-277-2253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLAND",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070016697",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2019006629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "2019006629",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "070016697",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "WHEELER",
            "middle_name": "ANN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Blessing Hospital (Blessing Health Pharmacy)
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• Blessing Hospital (Blessing Health Pharmacy)
• Blessing Hospital (Blessing Health Hannibal)
• Emily Sue Bock, AGACNP-BC
• Micheal Steven Boling, LCSW
• Boone Supported Living, LLC
• Misty D Bowen, D.O.
• Bowling Green Arthritis & Rheumatology Clinic P C (North Missouri Rheumatology Clinic)
• Carrol Leann Boxerman, D.O.

• Physical Therapist in Hannibal, MO
• Providers in Hannibal, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.