Active NPI
Sara Fisher, PT
- Physical Therapist
- Twin Lakes, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16386-24
- Practice address
- 700 N Lake Ave
Twin Lakes, WI 53181-9436 - Phone
- (262) 877-2124
- NPI assigned
- Jun 20, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16386-24 | WI | Primary |
Addresses
Primary practice location
700 N Lake Ave
Twin Lakes, WI 53181-9436
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100241582 | Medicaid | WI |
Other names 1
- Sara Gurda
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sgurda320221@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230801004496 | WI | Practitioner - Physical Therapist in Private Practice | 2163883554 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aurora Medical Group, Inc.
Practice addresses (Care Compare)
700 N Lake Ave
Suite 102
Twin Lakes, WI 53181-9436
Phone (262) 877-2124
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16386-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Advanced Healthcare, Inc. | Current | Accepting new patients | |
| Lakeshore Medical Clinic LTD | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Lakeshore Medical Clinic, LLC | Physical Therapist | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Advanced Healthcare Inc | Current | Accepting new patients |
Locations
3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100
12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747
2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880
700 N Lake Ave
Ste 102
Twin Lakes, WI 53181
Phone (262) 877-2124
Interoperability endpoints
- sgurda320221@direct.myadvocateaurora.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Saint Francis, WI
- NPI 1003861188
Physical Therapist, WI
-
- Durable Medical Equipment & Medical Supplies
- Summit, WI
- NPI 1477186633
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Family Medicine Physician
- South Milwaukee, WI
- NPI 1174851893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1689359457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 N LAKE AVE",
"city": "TWIN LAKES",
"state": "WI",
"postal_code": "531819436",
"telephone_number": "262-877-2124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "SARA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-20",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "16386-24",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100241582",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sgurda320221@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "700 N Lake Ave",
"city": "Twin Lakes",
"state": "WI",
"country_code": "US",
"postal_code": "531819436",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "700 N Lake Ave",
"city": "Twin Lakes",
"state": "WI",
"country_code": "US",
"postal_code": "531819436",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SARA",
"last_name": "GURDA",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Twin Lakes, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.