Individual provider Active NPI

Hilary Yoko Sadow, PT

  • Physical Therapist
  • Niles, MI
National Provider Identifier
1710333729
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017497 Issued in MI
Practice address
20 N 2ND St
3
Niles, MI 49120-2259
Phone
(269) 687-9594
Fax
(269) 687-9543
NPI assigned
May 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501017497 MI Primary
Physical Therapist 225100000X 05012013A IN

Addresses

Primary practice location

20 N 2ND St
3
Niles, MI 49120-2259

Mailing address

20 N 2ND St
3
Niles, MI 49120-2259
Phone (269) 687-9594

Other identifiers 2

IdentifierTypeStateIssuer
5501017497OtherMILICENSE NUMBER
05012013AOtherINLICENSE NUMBER

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

LicenseStateTypeSpecialty
05012013AINMDPhysical Therapist
5501017497MIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1710333729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N 2ND ST",
            "address_2": "3",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202259",
            "telephone_number": "269-687-9594",
            "fax_number": "269-687-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N 2ND ST",
            "address_2": "3",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202259",
            "telephone_number": "269-687-9594",
            "fax_number": "269-687-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADOW",
        "first_name": "HILARY",
        "middle_name": "YOKO",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017497",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05012013A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "5501017497",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "05012013A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.