Individual provider Active NPI

Sara Wolbert, DPT

  • Physical Therapist
  • Mansfield, PA
National Provider Identifier
1619726361
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT032248 Issued in PA
Practice address
285 S Main St
Mansfield, PA 16933-1512
Phone
(570) 662-1400
NPI assigned
May 15, 2024
Last updated
May 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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 PT032248 PA Primary

Addresses

Primary practice location

285 S Main St
Mansfield, PA 16933-1512

Mailing address

303 Kittle Rd
Columbia Cross Roads, PA 16914-9635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240709000687 PA Practitioner - Physical Therapist in Private Practice 4183169758 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT032248PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Therapy PC Physical Therapist CurrentSince May 2, 2024 Accepting new patients

Locations

285 S Main St
Mansfield, PA 16933
Phone (570) 662-1400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1619726361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 KITTLE RD",
            "city": "COLUMBIA CROSS ROADS",
            "state": "PA",
            "postal_code": "169149635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 S MAIN ST",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "169331512",
            "telephone_number": "570-662-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLBERT",
        "first_name": "SARA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.