Teresa J Sackmaster, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 20511 Issued in FL

Practice address

111 Nature Walk Parkway
Suite 101
St Augustine, FL 32092

Phone

(904) 230-7761

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710031364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MARSH POINT CIR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320805864",
            "telephone_number": "904-471-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NATURE WALK PARKWAY",
            "address_2": "SUITE 101",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "32092",
            "telephone_number": "904-230-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKMASTER",
        "first_name": "TERESA",
        "middle_name": "J",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 20511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA ASSISTANT LICENSE",
            "identifier": "PTA20511",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Collin Ryan
• S S Marathe MD PA
• Yvette Sabater-Lenk, LCSW
• Elizabeth Sabo, PA-C
• Julia Sachs
• Elaine S Sadkowski, LCSW
• George Edward Sadowski, M.D.
• Safe Harbor Counseling, Inc
• Sage Chiropractic Wellness Center LLC
• Janice K Sage, D.C.

• Physical Therapy Assistant in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.