Active NPI
Sara Duerkop, DPT
- Physical Therapist
- Lexington, SC
National Provider Identifier
1881225936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7275
- Practice address
- 714 S Lake Dr Ste 150
Lexington, SC 29072-3473 - Phone
- (803) 356-4782
- Fax
- (803) 996-4782
- NPI assigned
- Jan 28, 2020
- 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 | 7275 | SC | Primary |
Addresses
Primary practice location
714 S Lake Dr Ste 150
Lexington, SC 29072-3473
Mailing address
714 S Lake Dr Ste 150
Lexington, SC 29072-3473
Phone (803) 356-4782
Other practice location 1
181 Town Creek Rd
Aiken, SC 29803-5841
Phone (803) 642-0700
Other names 1
- Sara Hubble
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7275 | SC | MD | Psychiatric Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy of Aiken, LLC | Past | Accepting new patients | |
| Pediatric Therapy of Aiken, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Aiken, SC
- NPI 1588002026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1881225936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 S LAKE DR STE 150",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290723473",
"telephone_number": "803-356-4782",
"fax_number": "803-996-4782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 S LAKE DR STE 150",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290723473",
"telephone_number": "803-356-4782",
"fax_number": "803-996-4782"
}
],
"practiceLocations": [
{
"address_1": "181 Town Creek Rd",
"address_purpose": "LOCATION",
"city": "Aiken",
"state": "SC",
"postal_code": "298035841",
"country_code": "US",
"telephone_number": "803-642-0700",
"fax_number": "803-642-0588",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUERKOP",
"first_name": "SARA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-28",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "7275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "HUBBLE",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.