Individual provider Active NPI

Sarah Ann Harrell, DPT

  • Physical Therapist
  • Panama City, FL
National Provider Identifier
1962870501
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 30762 Issued in FL
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

Updated by the provider on Sep 14, 2015

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 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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
PT 30762FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jay West Physical Therapy Inc Physical Therapist CurrentSince Feb 1, 2025 Accepting new patients
Hypermed, LLC PastSince Jun 6, 2017 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.

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.

Verify at the official NPI Registry.