Individual provider Active NPI

Sara Nicole Gress, PT, DPT

  • Physical Therapist
  • Jasper, IN
National Provider Identifier
1912410002
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05012338A Issued in IN
Practice address
512 3Rd Ave Ste 102
Jasper, IN 47546-3503
Phone
(888) 317-0772
Fax
(844) 989-0752
NPI assigned
Nov 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05012338A IN Primary

Addresses

Primary practice location

512 3Rd Ave Ste 102
Jasper, IN 47546-3503

Mailing address

512 3Rd Ave Ste 102
Jasper, IN 47546-3503
Phone (888) 317-0772

Other identifiers 1

IdentifierTypeStateIssuer
300037271MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180117000189 IN Practitioner - Physical Therapist in Private Practice 0749549970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Movement Studio LLCGroup PAC ID 0042792913, 2 clinicians

Practice addresses (Care Compare)

512 3Rd Ave
Suite 102
Jasper, IN 47546-3503
Phone (888) 317-0772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Movement Studio LLC CurrentSince Dec 3, 2025 Accepting new patients

Locations

512 3rd Ave
Ste 102
Jasper, IN 47546
Phone (888) 317-0772

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1912410002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 3RD AVE STE 102",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463503",
            "telephone_number": "888-317-0772",
            "fax_number": "844-989-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 3RD AVE STE 102",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463503",
            "telephone_number": "888-317-0772",
            "fax_number": "844-989-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRESS",
        "first_name": "SARA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-10",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05012338A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300037271",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.