Individual provider Active NPI

Sarah E Patterson, DPT

  • Physical Therapist
  • Traverse City, MI
National Provider Identifier
1952858565
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017851 Issued in MI
Practice address
3899 W Front St
Unit 3
Traverse City, MI 49684
Phone
(231) 421-9277
Fax
(231) 421-8447
NPI assigned
Sep 1, 2016
Last updated
Dec 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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 5501017851 MI Primary

Addresses

Primary practice location

3899 W Front St
Unit 3
Traverse City, MI 49684

Mailing address

3899 W Front St
Unit 3
Traverse City, MI 49684-8103
Phone (231) 944-6541

Other identifiers 1

IdentifierTypeStateIssuer
5501017851OtherMIMICHIGAN LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160922002163 MI Practitioner - Physical Therapist in Private Practice 7214224963 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
Functional Dimensions, LLCGroup PAC ID 6608026190, 11 clinicians

Practice addresses (Care Compare)

3899 W Front St
Suite 3
Traverse City, MI 49684-8104
Phone (231) 944-6541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Dimensions LLC Physical Therapist CurrentSince Sep 1, 2016 Accepting new patients
Functional Dimensions LLC Physical Therapist CurrentSince Dec 16, 2020 Accepting new patients

Locations

3899 W Front St
Ste 3
Traverse City, MI 49684
Phone (231) 421-9277

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1952858565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3899 W FRONT ST",
            "address_2": "UNIT 3",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848103",
            "telephone_number": "231-944-6541",
            "fax_number": "231-421-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3899 W FRONT ST",
            "address_2": "UNIT 3",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49684",
            "telephone_number": "231-421-9277",
            "fax_number": "231-421-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "SARAH",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN LICENSE NUMBER",
            "identifier": "5501017851",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.