Individual provider Active NPI

Sara Marie Laudermilch

  • Pediatric Physical Therapist
  • Pooler, GA
National Provider Identifier
1912676610
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
28657 Issued in MD
Practice address
110 Pipemakers Cir Ste 115
Pooler, GA 31322-4168
Phone
(912) 988-1526
NPI assigned
Sep 7, 2021
Last updated
Mar 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 28657 MD Primary

Addresses

Primary practice location

110 Pipemakers Cir Ste 115
Pooler, GA 31322-4168

Mailing address

269 Watch Hill Rd
Exton, PA 19341-2190
Phone (484) 947-3851

Other practice location 1

1911 Lincoln Dr
Annapolis, MD 21401-4118
Phone (410) 572-1064

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

LicenseStateTypeSpecialty
28657MDMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chatterbox Pediatric Therapy CurrentSince Mar 24, 2024 Accepting new patients
Pediatric Rehabilitation and Wellness LLC Pediatrics Past Accepting new patients

Locations

110 Pipemakers Cir
Ste 115
Pooler, GA 31322
Phone (912) 988-1526

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1912676610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 WATCH HILL RD",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412190",
            "telephone_number": "484-947-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PIPEMAKERS CIR STE 115",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224168",
            "telephone_number": "912-988-1526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1911 Lincoln Dr",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214014118",
            "country_code": "US",
            "telephone_number": "410-572-1064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUDERMILCH",
        "first_name": "SARA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MD",
            "license": "28657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.

Verify at the official NPI Registry.