NPIMap

Organization Active NPI

Sage Physical Therapy & Wellness LLC

  • Physical Therapist
  • Frederick, MD
National Provider Identifier
1962176743
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SAGE PHYSICAL THERAPY & WELLNESS LLC
Practice address
405B S Jefferson St
Frederick, MD 21701-6272
Phone
(301) 662-9335
Fax
(301) 662-9337
NPI assigned
Aug 4, 2021
Last updated
Aug 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Authorized official

Name
Todd Sigmon
Title
Interim Cco
Phone
(410) 970-8190

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X
Chiropractor 111N00000X
Physical Medicine & Rehabilitation Physician 208100000X
Physical Therapist 225100000X Primary
Hand Occupational Therapist 225XH1200X

Addresses

Primary practice location

405B S Jefferson St
Frederick, MD 21701-6272

Mailing address

PO Box 745944
Atlanta, GA 30374-5944
Phone (410) 970-8177

National Provider Directory

National Provider Directory
Tax ID family
Sage PT WLNS LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1962176743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745944",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303745944",
            "telephone_number": "410-970-8177",
            "fax_number": "410-313-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405B S JEFFERSON ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016272",
            "telephone_number": "301-662-9335",
            "fax_number": "301-662-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE PHYSICAL THERAPY & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "SIGMON",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "INTERIM CCO",
        "authorized_official_telephone_number": "410-970-8190"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.