Active NPI
Sarah Rae Peabody, PT
- Physical Therapist
- San Francisco, CA
National Provider Identifier
1710009089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT28918
- Practice address
- 927 Vicente St
San Francisco, CA 94116-3023 - Phone
- (415) 665-4953
- NPI assigned
- Apr 6, 2007
- 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 | PT28918 | CA | Primary |
Addresses
Primary practice location
927 Vicente St
San Francisco, CA 94116-3023
Mailing address
843 45TH Ave
San Francisco, CA 94121-3223
Phone (415) 516-6961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28918 | CA | MD | Pharmacist |
| PT28918 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396915200000",
"number": "1710009089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "843 45TH AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941213223",
"telephone_number": "415-516-6961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 VICENTE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941163023",
"telephone_number": "415-665-4953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEABODY",
"first_name": "SARAH",
"middle_name": "RAE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2014-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT28918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.