Individual provider Active NPI

Sara Warren, DPT

  • Physical Therapist
  • Hockessin, DE
National Provider Identifier
1649712654
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0003595 Issued in DE
Practice address
720 Yorklyn Rd Ste 150
Hockessin, DE 19707-8729
Phone
(302) 234-2288
Fax
(302) 234-2869
NPI assigned
Nov 8, 2016
Last updated
Oct 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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 J1-0003595 DE Primary

Addresses

Primary practice location

720 Yorklyn Rd Ste 150
Hockessin, DE 19707-8729

Mailing address

720 Yorklyn Rd Ste 150
Hockessin, DE 19707-8729
Phone (302) 234-2288

Other practice location 1

1288 S Governors Ave
Dover, DE 19904-4802
Phone (302) 677-0100

Other names 1

  • Sara Blackwell Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161212000041 DE Practitioner - Physical Therapist in Private Practice 4183904048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Physical Therapy, IncGroup PAC ID 2860589306, 16 clinicians

Practice addresses (Care Compare)

720 Yorklyn Rd
Suite 150
Hockessin, DE 19707-8729
Phone (302) 234-2288

Merit-based Incentive Payment System (MIPS)

Final score
85.18 of 100Reported as individual
Quality
80.37
Improvement activities
40
Cost
76.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Oct 17, 2016 Accepting new patients
Performance Physical Therapy, Inc Physical Therapist CurrentSince Sep 9, 2019 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Oct 17, 2016 Accepting new patients

Locations

1288 S Governors Ave
Dover, DE 19904
Phone (302) 677-0100

720 Yorklyn Rd
Ste 150
Hockessin, DE 19707
Phone (302) 234-2288

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

Organizations & group practices 3

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": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1649712654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 YORKLYN RD STE 150",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197078729",
            "telephone_number": "302-234-2288",
            "fax_number": "302-234-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 YORKLYN RD STE 150",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197078729",
            "telephone_number": "302-234-2288",
            "fax_number": "302-234-2869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1288 S Governors Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199044802",
            "country_code": "US",
            "telephone_number": "302-677-0100",
            "fax_number": "302-677-0267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN",
        "first_name": "SARA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0003595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "BLACKWELL",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hockessin, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.