Organization Active NPI

Sarah Ceschin PT DPT LLC

  • Physical Therapy Clinic/Center
  • Boulder, CO
National Provider Identifier
1740060433
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SARAH CESCHIN PT DPT LLC
Practice address
2595 Canyon Blvd Ste 150
Boulder, CO 80302-6737
Phone
(262) 914-2307
NPI assigned
Oct 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Dr. Sarah Zimmer, DPTNPI 1366956187
Title
Owner and Physical Therapist
Phone
(262) 914-2307

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2595 Canyon Blvd Ste 150
Boulder, CO 80302-6737

Mailing address

2595 Canyon Blvd Ste 150
Boulder, CO 80302-6737
Phone (262) 914-2307

Other practice location 1

6545 W 44th Ave
Wheat Ridge, CO 80033-4749
Phone (262) 914-2307

Other names 1

  • Boulder Sports Physiotherapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231218000374 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5395194203 Receives reassigned benefits from 2 practitioners
Practice locations: Boulder, CO

National Provider Directory

National Provider Directory

Locations

2595 Canyon Blvd
Ste 150
Boulder, CO 80302
Phone (262) 515-3905

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1740060433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 CANYON BLVD STE 150",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026737",
            "telephone_number": "262-914-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 CANYON BLVD STE 150",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026737",
            "telephone_number": "262-914-2307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6545 W 44th Ave",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "800334749",
            "country_code": "US",
            "telephone_number": "262-914-2307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SARAH CESCHIN PT DPT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "ZIMMER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER AND PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "262-914-2307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boulder Sports Physiotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.