Individual provider Active NPI

Sara A Norval, DPT

  • Physical Therapist
  • Laurel, MS
National Provider Identifier
1861520728
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3190 Issued in MS
Practice address
204 N 15TH Ave
Laurel, MS 39440-4122
Phone
(601) 342-2344
Fax
(601) 651-2146
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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 3190 MS Primary

Addresses

Primary practice location

204 N 15TH Ave
Laurel, MS 39440-4122

Mailing address

204 N 15TH Ave
Laurel, MS 39440-4122
Phone (601) 342-2344

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170605001542 MS Practitioner - Physical Therapist in Private Practice 0547537003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimal Performance Physical TherapyGroup PAC ID 8022385145, 4 clinicians

Practice addresses (Care Compare)

1502 W 7TH St
Laurel, MS 39440-3300
Phone (601) 342-2344

PO Box
Suite 2414
Laurel, MS 39442-2414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3190MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Performance Physical Therapy Physical Therapist CurrentSince May 8, 2017 Accepting new patients

Locations

204 N 15th Ave
Laurel, MS 39440
Phone (601) 342-2344

910 Sawmill Rd
Spc D29
Laurel, MS 39440
Phone (601) 342-2344

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1861520728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N 15TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404122",
            "telephone_number": "601-342-2344",
            "fax_number": "601-651-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N 15TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404122",
            "telephone_number": "601-342-2344",
            "fax_number": "601-651-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORVAL",
        "first_name": "SARA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "3190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.