Individual provider Active NPI

Rachel Lynne Saddlemire, PTA

  • Physical Medicine & Rehabilitation Physician
  • Winston Salem, NC
National Provider Identifier
1720476997
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A4460 Issued in NC
Practice address
3895 Old Vineyard Rd
Winston Salem, NC 27104-4809
Phone
(336) 970-1486
NPI assigned
Dec 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A4460 NC Primary

Addresses

Primary practice location

3895 Old Vineyard Rd
Winston Salem, NC 27104-4809

Mailing address

1110 Cook Rd
Gibsonville, NC 27249-2945
Phone (336) 970-1386

Other names 1

  • Rachel Saddlemire Saddlemire Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A4460NCMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1720476997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 COOK RD",
            "city": "GIBSONVILLE",
            "state": "NC",
            "postal_code": "272492945",
            "telephone_number": "336-970-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3895 OLD VINEYARD RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271044809",
            "telephone_number": "336-970-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADDLEMIRE",
        "first_name": "RACHEL",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "A4460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "SADDLEMIRE",
            "middle_name": "SADDLEMIRE",
            "credential": "PTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.

Verify at the official NPI Registry.