Individual provider Active NPI

Sarah K Sivitz, MSPT

  • Physical Therapist
  • Ellicott City, MD
National Provider Identifier
1669481842
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23431 Issued in MD
Practice address
8165 Cyprus Cedar LN
Ellicott City, MD 21043-5559
Phone
(410) 799-0818
Fax
(410) 799-2653
NPI assigned
Aug 5, 2006
Last updated
Apr 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 27020 CA
Physical Therapist 225100000X 23431 MD Primary

Addresses

Primary practice location

8165 Cyprus Cedar LN
Ellicott City, MD 21043-5559

Mailing address

8165 Cyprus Cedar LN
Ellicott City, MD 21043-5559
Phone (410) 799-0818

Other identifiers 2

IdentifierTypeStateIssuer
1053320325OtherCATYPE 2NPI
ZZZ29361ZOtherCAMEDICARE GROUP PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130806000110 MD Practitioner - Physical Therapist in Private Practice 3274531348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Washington University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Physical Therapy LLCGroup PAC ID 7618984162, 7 clinicians

Practice addresses (Care Compare)

8165 Cyprus Cedar Lane
Suite 205
Ellicott City, MD 21043-5559
Phone (410) 799-0818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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.

State licenses

LicenseStateTypeSpecialty
PT 27020CAMDPhysical Therapist
23431MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Physical Therapy Physical Therapist CurrentSince Mar 1, 2013 Accepting new patients
Breakthrough Physical Therapy Inc Physical Therapist PastSince Aug 6, 2019 Accepting new patients

Locations

6801 Douglas Legum Dr
Ste B
Elkridge, MD 21075
Phone (410) 799-0818

8165 Cyprus Cedar Ln
Ste 205
Ellicott City, MD 21043
Phone (410) 799-0818

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1669481842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8165 CYPRUS CEDAR LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210435559",
            "telephone_number": "410-799-0818",
            "fax_number": "410-799-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8165 CYPRUS CEDAR LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210435559",
            "telephone_number": "410-799-0818",
            "fax_number": "410-799-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVITZ",
        "first_name": "SARAH",
        "middle_name": "K",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 27020",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2NPI",
            "identifier": "1053320325",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "ZZZ29361Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.