Active NPI
Sarah Ann Harrell, DPT
- Physical Therapist
- Panama City, FL
National Provider Identifier
1962870501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 30762
- Practice address
- 1937 Jenks Ave
Panama City, FL 32405-4510 - Phone
- (850) 769-7686
- NPI assigned
- Sep 14, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 30762 | FL | Primary |
Addresses
Primary practice location
1937 Jenks Ave
Panama City, FL 32405-4510
Mailing address
100 Augusta Rd
114
Panama City Beach, FL 32407-0228
Phone (937) 267-2010
Other names 1
- Sarah Ann Heinig
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220810000829 | CA | Practitioner - Physical Therapist in Private Practice | 5092081646 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 30762 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jay West Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Hypermed, LLC | Past | Accepting new patients |
Locations
330 2nd St
Oakland, CA 94607
Phone (510) 603-9945
6125 Medau Pl
Oakland, CA 94611
Phone (510) 339-2116
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Oakland, CA
- NPI 1629651237
CA, Physical Therapist
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Panama City Beach, FL
- NPI 1780081034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442188800000",
"number": "1962870501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 AUGUSTA RD",
"address_2": "114",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "324070228",
"telephone_number": "937-267-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1937 JENKS AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054510",
"telephone_number": "850-769-7686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRELL",
"first_name": "SARAH",
"middle_name": "ANN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-14",
"last_updated": "2015-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 30762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "HEINIG",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.