Individual provider Active NPI

Sarah Waguespack Pemberton, DPT

  • Physical Therapist
  • Covington, LA
National Provider Identifier
1760993547
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
09467 Issued in LA
Practice address
653 Myrtle Dr
Covington, LA 70433-8225
Phone
(985) 893-4700
NPI assigned
Oct 19, 2017
Last updated
Oct 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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 NU
Physical Therapist 225100000X 09467 LA Primary

Addresses

Primary practice location

653 Myrtle Dr
Covington, LA 70433-8225

Mailing address

205 Homestead Dr
Thibodaux, LA 70301-8039
Phone (985) 665-2559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211110000139 LA Practitioner - Physical Therapist in Private Practice 2668861899 Reassigns benefits to 2 organizations
I20231018002191 TN Practitioner - Physical Therapist in Private Practice 2668861899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midsouth Orthopaedic RehabilitationGroup PAC ID 2264515790, 12 clinicians
Memphis Obstetrics and Gynecological Association PCGroup PAC ID 7214918762, 46 clinicians

Practice addresses (Care Compare)

256 Germantown Bend CV
Suite 102
Cordova, TN 38018-5212
Phone (901) 522-6671

6215 Humphreys Blvd
Suite 401
Memphis, TN 38120-2382
Phone (901) 682-9222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15238TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Obstetrics and Gynecological Association PC CurrentSince Jul 1, 2025 Accepting new patients
Midsouth Orthopaedic Rehabilitation CurrentSince Oct 2, 2023 Accepting new patients
Mpower Physio and Wellness, LLC Physical Therapist CurrentSince Jan 27, 2026 Accepting new patients
Womens Health Specialists, PLLC Current Accepting new patients
Dynamic Physical Therapy Services LLC Physical Therapist CurrentSince Nov 15, 2021 Accepting new patients

Locations

653 Myrtle Dr
Covington, LA 70433
Phone (985) 893-4700

7520 Westbank Expy
Ste D
Marrero, LA 70072
Phone (504) 371-4226

3711 Cypress St
Ste 4
West Monroe, LA 71291
Phone (318) 321-3371

1340 Westbank Expy
Westwego, LA 70094
Phone (504) 371-4226

256 Germantown Bend Cv
Ste 102
Cordova, TN 38018
Phone (901) 522-6671

6215 Humphreys Blvd
Ste 401
Memphis, TN 38120
Phone (901) 682-9222

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16415/brand/2/csg/1/fhir/r4

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1760993547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HOMESTEAD DR",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703018039",
            "telephone_number": "985-665-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 MYRTLE DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338225",
            "telephone_number": "985-893-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEMBERTON",
        "first_name": "SARAH",
        "middle_name": "WAGUESPACK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.