Sarah Fallon Gardner, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-1785 Issued in WY

Practice address

231 N Front St Unit a
Big Piney, WY 83113-5131

Phone

(307) 276-0038

Fax

(307) 276-0087

NPI assigned

Jun 24, 2017

Last updated

Jun 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Sarah Breanne Fallon Former name

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Utah School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elevation Therapy and Wellness LLCGroup PAC ID 1052853116, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elevation Therapy and Wellness LLC

  • Physical Therapist
  • Big Piney, WY
  • NPI 1124888227
  Medicare reassignment Care Compare group NPD Authorized official
• All Body Therapy, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Jackson, WY
  • NPI 1770723348
  NPD (past)

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

{
    "created_epoch": "1498262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1871013490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 196",
            "city": "DANIEL",
            "state": "WY",
            "postal_code": "831150196",
            "telephone_number": "307-690-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 N FRONT ST UNIT A",
            "city": "BIG PINEY",
            "state": "WY",
            "postal_code": "831135131",
            "telephone_number": "307-276-0038",
            "fax_number": "307-276-0087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4910 Directors Pl",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921213811",
            "country_code": "US",
            "telephone_number": "858-554-0522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "SARAH",
        "middle_name": "FALLON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-24",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-1785",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "10380431-2401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293531",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "FALLON",
            "middle_name": "BREANNE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashlin Applin
• Carol Ann Deno, RPH
• Elevation Therapy and Wellness LLC
• High Country Behavioral Health
• High Country Behavioral Health
• Scott William Houfek, DDS
• Krista Louise Manning
• Robert H Bailey (Frontier Pharmacy)

• Physical Therapist in Big Piney, WY
• Providers in Big Piney, WY by specialty
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.