Individual provider Active NPI

Sarah B Guettler, DPT

  • Physical Therapist
  • Port Saint Lucie, FL
National Provider Identifier
1861007171
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36224 Issued in FL
Practice address
9401 SW Discovery Way Ste 202
Port Saint Lucie, FL 34987-2381
Phone
(772) 288-2400
Fax
(772) 419-0143
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT36224 FL Primary

Addresses

Primary practice location

9401 SW Discovery Way Ste 202
Port Saint Lucie, FL 34987-2381

Mailing address

1050 SE Monterey Rd Ste 400
Stuart, FL 34994-4512
Phone (772) 288-2400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200918000380 FL Practitioner - Physical Therapist in Private Practice 2961820238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Longevity Rehabilitation Center IncGroup PAC ID 0345238218, 8 clinicians

Practice addresses (Care Compare)

1515 Indian River Blvd
Suite A135
Vero Beach, FL 32960-7105
Phone (772) 978-9750

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
81.73
Improvement activities
40
Cost
74.86

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT36224FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Form Physical Therapy Inc. Physical Therapist CurrentSince Mar 28, 2022 Accepting new patients
Longevity Rehabilitation Center Inc Physical Therapist CurrentSince Dec 23, 2024 Accepting new patients
South Florida Orthopaedics & Sports Medicine,PA Past Accepting new patients

Locations

9055 Americana Rd
Ste 20
Vero Beach, FL 32966
Phone (772) 774-8392

4445 Highway A1A
Ste 125
Vero Beach, FL 32963
Phone (772) 231-3676

1515 Indian River Blvd
Ste A135
Vero Beach, FL 32960
Phone (772) 978-9750

Interoperability endpoints

  • Direct secure messaging: sarah.guettlerdpt.p1@direct.southflaortho.nextgenshare.com

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": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1861007171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 SE MONTEREY RD STE 400",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944512",
            "telephone_number": "772-288-2400",
            "fax_number": "772-419-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 SW DISCOVERY WAY STE 202",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349872381",
            "telephone_number": "772-288-2400",
            "fax_number": "772-419-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUETTLER",
        "first_name": "SARAH",
        "middle_name": "B",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

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