Active NPI
Sara Polito, P.T., D.P.T.
- Physical Therapist
- Cherry Hill, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 28546
- Practice address
- 1919 Greentree Rd Ste B
Cherry Hill, NJ 08003-1115 - Phone
- (856) 424-0993
- NPI assigned
- Sep 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 28546 | MD | Primary |
| Physical Therapist | 225100000X | 40QA01910900 | NJ | |
| Physical Therapist | 225100000X | 292101 | CA |
Addresses
Primary practice location
1919 Greentree Rd Ste B
Cherry Hill, NJ 08003-1115
Mailing address
2138 Priest Bridge CT
Ste 7
Crofton, MD 21114-2463
Phone (410) 721-6333
Other practice location 1
1411 Oliver Rd
Suite 200
Fairfield, CA 94534-3424
Phone (630) 981-4715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, IL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- St. Louis College of Physicians and Surgeons, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
220 W Ogden Ave
Westmont, IL 60559-1346
Phone (630) 908-7430
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 292101 | CA | MD | Physical Therapist |
| 28546 | MD | MD | Physical Therapist |
| 40QA01910900 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipta Clinical, LLC | Physical Therapist | Current | Accepting new patients |
| Theracore, Inc. | Physical Therapist | Current | Accepting new patients |
| Breakaway Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
16622 W 159th St
Ste 503
Lockport, IL 60441
Phone (815) 838-5070
220 W Ogden Ave
Westmont, IL 60559
Phone (630) 908-7430
2138 Priest Bridge Ct
Ste 7
Crofton, MD 21114
Phone (301) 807-8972
1919 Greentree Rd
Ste B
Cherry Hill, NJ 08003
Phone (856) 424-0993
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.
-
- Physical Therapist
- Lockport, IL
- NPI 1043481005
-
- Physical Therapist
- Crofton, MD
- NPI 1780077784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632441600000",
"number": "1780133538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2138 PRIEST BRIDGE CT",
"address_2": "STE 7",
"city": "CROFTON",
"state": "MD",
"postal_code": "211142463",
"telephone_number": "410-721-6333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 GREENTREE RD STE B",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080031115",
"telephone_number": "856-424-0993"
}
],
"practiceLocations": [
{
"address_1": "1411 Oliver Rd",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "CA",
"postal_code": "945343424",
"country_code": "US",
"telephone_number": "630-981-4715",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLITO",
"first_name": "SARA",
"credential": "P.T., D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-21",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "28546",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01910900",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "292101",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.