Sara Farrell, PT, DPT, CLT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1757 Issued in ND

Practice address

604 E Ash Ave
Glen Ullin, ND 58631-7138

Phone

(701) 348-3107

NPI assigned

May 19, 2014

Last updated

Oct 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sara Gerving Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Marian Manor Healthcare Center

  • Assisted Living Facility
  • Glen Ullin, ND
  • NPI 1437031911
  NPD (past)
• Omaha Therapy, Inc

  dba Rehab Visions

  • Rehabilitation Clinic/Center
  • Dickinson, ND
  • NPI 1730280371
  NPD (past)

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1699186098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 E ASH AVE",
            "city": "GLEN ULLIN",
            "state": "ND",
            "postal_code": "586317138",
            "telephone_number": "701-348-3107",
            "fax_number": "701-348-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 E ASH AVE",
            "city": "GLEN ULLIN",
            "state": "ND",
            "postal_code": "586317138",
            "telephone_number": "701-348-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "GERVING",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bogerosa Inc.
• Mark William Bogert, PT
• Cathy A Chavarria
• Amanda Dewees, CNA
• Linda Duppong, PA-C
• Lasheva M Gallant
• Suzanne Renae Gartner
• Glen Ullin Ambulance Service
• Glen Ullin Family Medical Center
• Glen Ullin Pharmacy LLC (Glen Ullin Pharmacy)

• Physical Therapist in Glen Ullin, ND
• Providers in Glen Ullin, ND by specialty
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.