Individual provider Active NPI

Sara Polito, P.T., D.P.T.

  • Physical Therapist
  • Cherry Hill, NJ
National Provider Identifier
1780133538
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28546 Issued in MD
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

Updated by the provider on Sep 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211014000463 MD Practitioner - Physical Therapist in Private Practice 2264719616 Reassigns benefits to 1 organization
I20250320003340 IL Practitioner - Physical Therapist in Private Practice 2264719616 Reassigns benefits to 1 organization

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
Theracore, Inc.Group PAC ID 9234200049, 7 clinicians

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

LicenseStateTypeSpecialty
292101CAMDPhysical Therapist
28546MDMDPhysical Therapist
40QA01910900NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ipta Clinical, LLC Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients
Theracore, Inc. Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients
Breakaway Physical Therapy, LLC Physical Therapist CurrentSince Aug 23, 2021 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.

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.

Verify at the official NPI Registry.