Active NPI
Sara Crain, PT
- Physical Therapist
- Saint Louis, MO
National Provider Identifier
1831736131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2003022704
- Practice address
- 615 S New Ballas Rd
Saint Louis, MO 63141-8221 - Phone
- (314) 251-5783
- NPI assigned
- Dec 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 297780 | CA | |
| Physical Therapist | 225100000X | 2003022704 | MO | Primary |
Addresses
Primary practice location
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Mailing address
10 Trail Oaks Dr
Saint Peters, MO 63376-1872
Phone (636) 373-4780
Other practice location 1
1640 Redstone Center Dr Ste 200
Park City, UT 84098-7607
Phone (866) 474-6677
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 297780 | Other | CA | CAPT BOARD - PT LICENSE |
| 2003022704 | Other | MO | PT LICENSE |
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 |
|---|---|---|---|
| 297780 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575504000000",
"number": "1831736131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 TRAIL OAKS DR",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633761872",
"telephone_number": "636-373-4780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 S NEW BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418221",
"telephone_number": "314-251-5783"
}
],
"practiceLocations": [
{
"address_1": "1640 Redstone Center Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Park City",
"state": "UT",
"postal_code": "840987607",
"country_code": "US",
"telephone_number": "866-474-6677",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRAIN",
"first_name": "SARA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-05",
"last_updated": "2019-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "297780",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2003022704",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPT BOARD - PT LICENSE",
"identifier": "297780",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "2003022704",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.