Active NPI
Sara Bergendahl, PT
- Physical Therapist
- Sitka, AK
National Provider Identifier
1619341237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1774
- Practice address
- 209 Moller Ave
Sitka, AK 99835-7142 - Phone
- (907) 747-1771
- Fax
- (907) 747-8853
- NPI assigned
- Nov 19, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1774 | AK | Primary |
Addresses
Primary practice location
209 Moller Ave
Sitka, AK 99835-7142
Mailing address
209 Moller Ave
Sitka, AK 99835-7142
Phone (907) 747-1771
Other names 1
- Sara Ellen Hesse-Bruhl
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 |
|---|---|---|---|
| 1774 | AK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447891200000",
"number": "1619341237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 MOLLER AVE",
"city": "SITKA",
"state": "AK",
"postal_code": "998357142",
"telephone_number": "907-747-1771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 MOLLER AVE",
"city": "SITKA",
"state": "AK",
"postal_code": "998357142",
"telephone_number": "907-747-1771",
"fax_number": "907-747-8853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGENDAHL",
"first_name": "SARA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-19",
"last_updated": "2015-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "1774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "HESSE-BRUHL",
"middle_name": "ELLEN",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sitka, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.