Sarah Ann Nilson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2653 Issued in ID

Practice address

2514 N 7TH St
Coeur D Alene, ID 83814-3720

Phone

(208) 664-8128

NPI assigned

Nov 3, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Sarah Ann Renville Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1351900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351900800000",
    "number": "1801140496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 COWBOY WAY",
            "city": "ATHOL",
            "state": "ID",
            "postal_code": "838016027",
            "telephone_number": "208-301-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 N 7TH ST",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143720",
            "telephone_number": "208-664-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILSON",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-03",
        "last_updated": "2012-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-2653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "RENVILLE",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Thomas E Nickol, MD
• Robin L Nicolai-Klatt, LCSW
• Jeremy Robert Nicolarsen, MD
• Nicole O'Brien LPC LLC
• Katherine E Nicolich, DO
• Kasey A Nixon
• Amber Olivia Norbeck, PHARM.D.
• Norco, Inc
• Mandi Nordhagen
• Audrey Nordness, PHARMD

• Physical Therapist in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.