Individual provider Active NPI

Sarah Dewit Lusk, PT, OCS

  • Physical Therapist
  • Bay Minette, AL
National Provider Identifier
1770579393
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH4012 Issued in AL
Practice address
2115 Hand Ave
Bay Minette, AL 36507-4149
Phone
(251) 937-2823
Fax
(251) 937-2821
NPI assigned
Sep 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH4012 AL Primary

Addresses

Primary practice location

2115 Hand Ave
Bay Minette, AL 36507-4149

Mailing address

618 McMeans Ave
Bay Minette, AL 36507-3333
Phone (251) 937-4700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071130000289 AL Practitioner - Physical Therapist in Private Practice 0244329100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of South Alabama College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Shore Physical Therapy, IncGroup PAC ID 5597774604, 3 clinicians

Practice addresses (Care Compare)

618 McMeans Ave
Bay Minette, AL 36507-3333
Phone (251) 937-4700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Shore Physical Therapy, Inc CurrentSince Nov 22, 2009 Accepting new patients
Healthactions PA Physical Therapist Past Accepting new patients
RX Services Diversified Inc. PastSince Nov 22, 2009 Accepting new patients

Locations

618 McMeans Ave
Bay Minette, AL 36507
Phone (251) 580-2770

6475 Van Buren St
Ste 102
Daphne, AL 36526
Phone (205) 626-9052

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1770579393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 MCMEANS AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365073333",
            "telephone_number": "251-937-4700",
            "fax_number": "251-937-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 HAND AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074149",
            "telephone_number": "251-937-2823",
            "fax_number": "251-937-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSK",
        "first_name": "SARAH",
        "middle_name": "DEWIT",
        "name_prefix": "Mrs.",
        "credential": "PT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH4012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Minette, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.