Sarah K Crockett, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CH61257902 Issued in WA

Practice address

5125 Olympic Dr Ste 110
Gig Harbor, WA 98335-1712

Phone

(253) 853-4000

Fax

(253) 853-4001

NPI assigned

Feb 8, 2022

Last updated

Feb 8, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Sleep Medicine

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sese Sports Performance Group, PSGroup PAC ID 7618148818, 3 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.

• Sese Sports Performance Group, PS

  dba Northwest Sports Performance & Wellness

  • Chiropractor
  • Bellevue, WA
  • NPI 1285924787
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1891449914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5125 OLYMPIC DR STE 110",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351712",
            "telephone_number": "253-853-4000",
            "fax_number": "253-853-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 OLYMPIC DR STE 110",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351712",
            "telephone_number": "253-853-4000",
            "fax_number": "253-853-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "SARAH",
        "middle_name": "K",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "WA",
            "license": "CH61257902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crackyourbackjack, Inc.
• Mark Farabee Craddock, M.D.
• Jonathan William Ralph Crane
• Crescent Psychiatry
• Rachel L Criddle, DNP, FNP
• Claudia K Crowe, MA, OTR/L
• Cameron Crumpler, L.AC
• Eugene Reyes Cruz, LMP
• Amanda Sue Cuda, M.D.
• Nicole Monique Cuevas

• Sports Physician Chiropractor in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Sports Physician Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.