Active NPI
Sage Ehresman, DC
- Chiropractor
- Bonita Springs, FL
National Provider Identifier
1881463636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14834
- Practice address
- 28870 Versol Dr Unit 109
Bonita Springs, FL 34135-6551 - Phone
- (302) 827-7243
- NPI assigned
- Dec 21, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14834 | FL | Primary |
Addresses
Primary practice location
28870 Versol Dr Unit 109
Bonita Springs, FL 34135-6551
Mailing address
28870 Versol Dr Unit 109
Bonita Springs, FL 34135-6551
Phone (302) 827-7243
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 |
|---|---|---|---|
| 14834 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1881463636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28870 VERSOL DR UNIT 109",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341356551",
"telephone_number": "302-827-7243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28870 VERSOL DR UNIT 109",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341356551",
"telephone_number": "302-827-7243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHRESMAN",
"first_name": "SAGE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-12-21",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "14834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonita Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.