Sara L Kuanfung, P.T, LMT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

R0835 Issued in MO

Practice address

128 Enchanted Pkwy
Suite 201
Ballwin, MO 63021-5497

Phone

(314) 881-8590

NPI assigned

Jun 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Sara L Booher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1710928262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 ENCHANTED PKWY",
            "address_2": "SUITE 201",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630215497",
            "telephone_number": "314-881-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 ENCHANTED PKWY",
            "address_2": "SUITE 201",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630215497",
            "telephone_number": "314-881-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUANFUNG",
        "first_name": "SARA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "P.T, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "R0835",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2013003489",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "BOOHER",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "P.T",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Esther Leni Kraai, DC,RN
• Erin Marie Kramer, FNP-C
• Mark A Kramer, D.D.S.
• Allyson Kranz, SLP
• Cynthia R. Krinochkin, PA
• Slava Kunin, PHARM.D.
• Jody L Kyle, BCBA, LBA
• Denise Marie Labarge, RN, LPC
• Sheila Marie Lam, DDS
• Meghan Lambert, FNP

• Physical Therapist in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.