Individual provider Active NPI

John Sauer, PT

  • Physical Therapist
  • La Grange Park, IL
National Provider Identifier
1932497898
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-018525 Issued in IL
Practice address
407 N la Grange Rd
La Grange Park, IL 60526-5623
Phone
(708) 482-9320
Fax
(708) 482-9760
NPI assigned
Jul 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 070-018525 IL Primary

Addresses

Primary practice location

407 N la Grange Rd
La Grange Park, IL 60526-5623

Mailing address

407 N la Grange Rd
La Grange Park, IL 60526-5623
Phone (708) 482-9320

Other practice location 1

6502 Joliet Rd Ste B
Countryside, IL 60525-4613
Phone (708) 352-0547

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191018001237 CO Practitioner - Physical Therapist in Private Practice 6406002575 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-018525ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain States Hand and Physical Therapy, Inc. Physical Therapist CurrentSince Sep 1, 2019 Accepting new patients

Locations

8020 Lee Dr
Arvada, CO 80005
Phone (303) 422-1755

400 S McCaslin Blvd
Ste 208
Superior, CO 80027
Phone (303) 422-1755

4045 Wadsworth Blvd
Ste 210
Wheat Ridge, CO 80033
Phone (303) 467-3490

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": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1932497898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N LA GRANGE RD",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605265623",
            "telephone_number": "708-482-9320",
            "fax_number": "708-482-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N LA GRANGE RD",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605265623",
            "telephone_number": "708-482-9320",
            "fax_number": "708-482-9760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6502 Joliet Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Countryside",
            "state": "IL",
            "postal_code": "605254613",
            "country_code": "US",
            "telephone_number": "708-352-0547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAUER",
        "first_name": "JOHN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-018525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.