Active NPI
Sarah K Sivitz, MSPT
- Physical Therapist
- Ellicott City, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23431
- 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, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053320325 | Other | CA | TYPE 2NPI |
| ZZZ29361Z | Other | CA | MEDICARE GROUP PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
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
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 27020 | CA | MD | Physical Therapist |
| 23431 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Breakthrough Physical Therapy Inc | Physical Therapist | Past | 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.
-
- Physical Therapist
- Ellicott City, MD
- NPI 1588962237
-
- Physical Therapist
- Elkridge, MD
- NPI 1215150933
-
- Physical Therapist
- Sunnyvale, CA
- NPI 1053320325
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.