Individual provider Active NPI

Sarah Dawn Marie Rainey, DPT

  • Physical Therapist
  • Ashland, NE
National Provider Identifier
1801122874
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3300 Issued in NE
Practice address
2517 Kendel Dr
Ashland, NE 68003-1024
Phone
(615) 500-0258
NPI assigned
Oct 27, 2009
Last updated
Jun 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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 PT36121 CA
Physical Therapist 225100000X 36121 CA
Physical Therapist 225100000X 3300 NE Primary

Addresses

Primary practice location

2517 Kendel Dr
Ashland, NE 68003-1024

Mailing address

2517 Kendel Dr
Ashland, NE 68003-1024
Phone (615) 500-0258

Other practice location 1

29650 Bradley Rd
Menifee, CA 92586-6521
Phone (951) 672-0455

Other names 1

  • Ms. Sarah Dawn Marie Penterman Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200821001897 NE Practitioner - Physical Therapist in Private Practice 3476696568 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3300NEMDProfessional Counselor
PT36121CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Invigorating Motion Physical Therapy Physical Therapist CurrentSince Jul 2, 2020 Accepting new patients

Organizations & group practices 1

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": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1801122874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 KENDEL DR",
            "city": "ASHLAND",
            "state": "NE",
            "postal_code": "680031024",
            "telephone_number": "615-500-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 KENDEL DR",
            "city": "ASHLAND",
            "state": "NE",
            "postal_code": "680031024",
            "telephone_number": "615-500-0258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29650 Bradley Rd",
            "address_purpose": "LOCATION",
            "city": "Menifee",
            "state": "CA",
            "postal_code": "925866521",
            "country_code": "US",
            "telephone_number": "951-672-0455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAINEY",
        "first_name": "SARAH",
        "middle_name": "DAWN MARIE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT36121",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36121",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "PENTERMAN",
            "middle_name": "DAWN MARIE",
            "prefix": "MS.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashland, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.