Active NPI
Sara J Homan, PT
- Physical Therapist
- Glendale, AZ
National Provider Identifier
1831192905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 488
- Practice address
- 8811 N 51St Ave
Ste 102
Glendale, AZ 85302-4949 - Phone
- (623) 915-2726
- Fax
- (623) 915-2728
- NPI assigned
- May 23, 2005
- Last updated
- Oct 16, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 488 | AZ | Primary |
Addresses
Primary practice location
8811 N 51St Ave
Ste 102
Glendale, AZ 85302-4949
Mailing address
PO Box 32490
Phoenix, AZ 85064-2490
Phone (602) 230-4478
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 780884 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 488 | AZ | MD | Physical Therapist |
| 0488 | AZ | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canyon State Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Olympic Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
| Physical Therapy Solutions LLC | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Physicians Physical Therapy Service
- Physical Therapist
- Glendale, AZ
- NPI 1225087158
-
dba Physicians Physical Therapy Service
- Physical Therapist
- Phoenix, AZ
- NPI 1790733525
-
dba Physicians Physical Therapy Service
- Physical Therapist
- Glendale, AZ
- NPI 1912955717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192492800000",
"number": "1831192905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32490",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850642490",
"telephone_number": "602-230-4478",
"fax_number": "602-230-9962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8811 N 51ST AVE",
"address_2": "STE 102",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853024949",
"telephone_number": "623-915-2726",
"fax_number": "623-915-2728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMAN",
"first_name": "SARA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-23",
"last_updated": "2007-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "488",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "780884",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.