Individual provider Active NPI

Sarah Eileen Johnson, MPT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1962619411
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT33248 Issued in CA
Practice address
6475 Alvarado Rd
Suite 118
San Diego, CA 92120-5003
Phone
(616) 287-4678
Fax
(619) 287-0350
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 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 PT33248 CA Primary

Addresses

Primary practice location

6475 Alvarado Rd
Suite 118
San Diego, CA 92120-5003

Mailing address

7816 Topaz Lake Ave
San Diego, CA 92119-3050
Phone (619) 261-1836

Other names 1

  • Ms. Sarah Eileen Menning Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080124000343 CA Practitioner - Physical Therapist in Private Practice 0345322772 Reassigns benefits to 1 organization
I20241026000419 WA Practitioner - Physical Therapist in Private Practice 0345322772 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Puyallup Valley Physical Therapy Inc PSGroup PAC ID 7517952914, 11 clinicians
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

2520 7TH St SE
Puyallup, WA 98374-1105
Phone (253) 848-2309

8011 112TH St CT E
Puyallup, WA 98373-7814
Phone (253) 848-0662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT33248CAMDPhysical Therapist
33248CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
G O M G a Medical Partnership CurrentSince Feb 12, 2024 Accepting new patients
Puyallup Valley Physical Therapy, Inc. P. S. Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients

Locations

5565 Grossmont Center Dr
Ste 360
La Mesa, CA 91942
Phone (619) 315-0035

5565 Grossmont Center Dr
Ste 256
La Mesa, CA 91942
Phone (619) 421-3400

2520 7th St SE
Puyallup, WA 98374
Phone (206) 848-2309

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407456000000",
    "number": "1962619411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7816 TOPAZ LAKE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193050",
            "telephone_number": "619-261-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 ALVARADO RD",
            "address_2": "SUITE 118",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205003",
            "telephone_number": "616-287-4678",
            "fax_number": "619-287-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SARAH",
        "middle_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2014-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT33248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "MENNING",
            "middle_name": "EILEEN",
            "prefix": "MS.",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.