NPIMap

Sara Collett

Individual provider Active NPI Physical Therapist · West End, NC

NPI 1972062156 · NPPES record last updated Mar 18, 2019

Key facts

NPI
1972062156
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
P15887 (NC)
Practice address
1163 7 Lakes Dr
West End, NC 27376
Phone
(910) 673-5437
Fax
(910) 673-5438
NPI assigned
Mar 18, 2019
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
P15887NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Pediatric Therapy Serivces Past Accepting new patients
Moore Pediatric Therapy Serivces Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P15887 NC Yes

Addresses

Primary practice location

1163 7 Lakes Dr
West End, NC 27376

Mailing address

PO Box 354
West End, NC 27376-0354
Phone (910) 673-5437

Other providers in West End, NC

All providers in West End, NC · Physical Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.