Individual provider Active NPI

Sara Sue Gartland

  • Physical Therapy Clinic/Center
  • Traverse City, MI
National Provider Identifier
1740894500
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5501019698 Issued in MI
Practice address
220 Midtown Dr
Traverse City, MI 49684-5751
Phone
(231) 631-2839
NPI assigned
Aug 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5501019698 MI Primary

Addresses

Primary practice location

220 Midtown Dr
Traverse City, MI 49684-5751

Mailing address

220 Midtown Dr
Traverse City, MI 49684-5751
Phone (231) 631-2839

Other practice location 1

3281 Racquet Club Dr Unit A
Traverse City, MI 49684-4701
Phone (231) 941-8100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210105002404 MI Practitioner - Physical Therapist in Private Practice 8628481918 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501019698MIMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Therapy Housecalls, P.C. Physical Therapy CurrentSince Oct 6, 2020 Accepting new patients
Better Days Physical Therapy and Wellness, LLC Physical Therapy CurrentSince Oct 13, 2024 Accepting new patients
Great Lakes Therapy House Calls PC Physical Therapy CurrentSince Oct 6, 2020 Accepting new patients

Locations

5123 N Royal Dr
Traverse City, MI 49684
Phone (231) 929-8383

3281 Racquet Club Dr
Unit A
Traverse City, MI 49684
Phone (231) 421-5036

1105 E Eighth St
Traverse City, MI 49686
Phone (231) 935-6787

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1740894500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MIDTOWN DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845751",
            "telephone_number": "231-631-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MIDTOWN DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845751",
            "telephone_number": "231-631-2839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3281 Racquet Club Dr Unit A",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496844701",
            "country_code": "US",
            "telephone_number": "231-941-8100",
            "fax_number": "231-421-5560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARTLAND",
        "first_name": "SARA",
        "middle_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501019698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.