Individual provider Active NPI

Sara Sparks

  • Physical Therapist
  • Granbury, TX
National Provider Identifier
1952721755
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1215089 Issued in TX
Practice address
524 N Crockett St
Granbury, TX 76048-2152
Phone
(817) 573-0870
Fax
(817) 573-0613
NPI assigned
Apr 18, 2014
Last updated
Apr 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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 1215089 TX Primary

Addresses

Primary practice location

524 N Crockett St
Granbury, TX 76048-2152

Mailing address

524 N Crockett St
Granbury, TX 76048-2152
Phone (817) 573-0870

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251216004995 TX Practitioner - Physical Therapist in Private Practice 3072008119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Texas Tech University Health Science Center School of Medicine, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13915 Burnet Rd
Suite 103
Austin, TX 78728-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1215089TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Outcomes Wound Therapy PLLC CurrentSince Oct 6, 2025 Accepting new patients
Outcomes Therapy Ops Physical Therapist CurrentSince Oct 6, 2025 Accepting new patients
Center for Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Locations

13915 Burnet Rd
Ste 103
Austin, TX 78728
Phone (512) 710-6516

6333 De Zavala Rd
Ste 117118
San Antonio, TX 78249
Phone (512) 710-6516

Organizations & group practices 3

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": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397779200000",
    "number": "1952721755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 N CROCKETT ST",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482152",
            "telephone_number": "817-573-0870",
            "fax_number": "817-573-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 N CROCKETT ST",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482152",
            "telephone_number": "817-573-0870",
            "fax_number": "817-573-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "SARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1215089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; 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.