Active NPI
Sara Burgett, DPT
- Physical Therapist
- Quincy, MA
National Provider Identifier
1861971996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16559
- Practice address
- 111 Willard St Ste 2a
Quincy, MA 02169-1274 - Phone
- (617) 770-0022
- Fax
- (617) 471-1114
- NPI assigned
- Aug 9, 2018
- 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 | 16559 | CO | Primary |
Addresses
Primary practice location
111 Willard St Ste 2a
Quincy, MA 02169-1274
Mailing address
7340 S Alton Way
Ste 11-D
Centennial, CO 80112-2323
Phone (720) 493-1181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110138832A | Medicaid | MA |
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 |
|---|---|---|---|
| 16559 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1861971996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7340 S ALTON WAY",
"address_2": "STE 11-D",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801122323",
"telephone_number": "720-493-1181",
"fax_number": "720-493-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 WILLARD ST STE 2A",
"city": "QUINCY",
"state": "MA",
"postal_code": "021691274",
"telephone_number": "617-770-0022",
"fax_number": "617-471-1114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGETT",
"first_name": "SARA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-09",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "16559",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110138832A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.