Individual provider Active NPI

Sarah Louise McShane, MAPT

  • Physical Therapist
  • Babylon, NY
National Provider Identifier
1619142155
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
015418 Issued in NY
Practice address
13 South Carll Avenue
B-Well Physical Therapy & Massage Therapy PLLC
Babylon, NY 11702
Phone
(631) 587-3828
Fax
(631) 587-3588
NPI assigned
Apr 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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 015418 NY Primary

Addresses

Primary practice location

13 South Carll Avenue
B-Well Physical Therapy & Massage Therapy PLLC
Babylon, NY 11702

Mailing address

13 South Carll Avenue
B-Well Physical Therapy & Massage Therapy PLLC
Babylon, NY 11702
Phone (631) 587-3828

Other identifiers 1

IdentifierTypeStateIssuer
11836091OtherNYCAQH

Other names 1

  • Miss Sarah Louise Brooks Former name

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1619142155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 SOUTH CARLL AVENUE",
            "address_2": "B-WELL PHYSICAL THERAPY & MASSAGE THERAPY PLLC",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "11702",
            "telephone_number": "631-587-3828",
            "fax_number": "631-587-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 SOUTH CARLL AVENUE",
            "address_2": "B-WELL PHYSICAL THERAPY & MASSAGE THERAPY PLLC",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "11702",
            "telephone_number": "631-587-3828",
            "fax_number": "631-587-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSHANE",
        "first_name": "SARAH",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "MAPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11836091",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "BROOKS",
            "middle_name": "LOUISE",
            "prefix": "MISS",
            "credential": "MAPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.