Individual provider Active NPI

Sarah Polvere

  • Physical Therapist
  • Carlsbad, CA
National Provider Identifier
1992264196
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
299220 Issued in CA
Practice address
6221 Metropolitan St Ste 101
Carlsbad, CA 92009-3096
Phone
(769) 707-5080
NPI assigned
Mar 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0016239 CO
Physical Therapist 225100000X 299220 CA Primary

Addresses

Primary practice location

6221 Metropolitan St Ste 101
Carlsbad, CA 92009-3096

Mailing address

6102 Avenida Encinas
Ste E
Carlsbad, CA 92011-1005
Phone (760) 692-5142

Other practice location 1

10355 E Iliff Ave
Aurora, CO 80247-3622
Phone (303) 755-4955

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201030000616 CA Practitioner - Physical Therapist in Private Practice 4789094863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gaspar Physical Therapy a Professional CorporationGroup PAC ID 0648165761, 38 clinicians

Practice addresses (Care Compare)

6221 Metropolitan St
Suite 101
Carlsbad, CA 92009-3096
Phone (760) 707-5080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
299220CAMDPhysical Therapist
PTL.0016239COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gaspar Physical Therapy a Professional Corporation Physical Therapist CurrentSince Oct 13, 2020 Accepting new patients

Locations

6102 Avenida Encinas
Ste E
Carlsbad, CA 92011
Phone (760) 634-9750

6221 Metropolitan St
Ste 101
Carlsbad, CA 92009
Phone (760) 632-6942

3809 Plaza Dr
Ste 112
Oceanside, CA 92056
Phone (760) 941-2630

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1992264196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6102 AVENIDA ENCINAS",
            "address_2": "STE E",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111005",
            "telephone_number": "760-692-5142",
            "fax_number": "760-634-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 METROPOLITAN ST STE 101",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920093096",
            "telephone_number": "769-707-5080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10355 E Iliff Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "802473622",
            "country_code": "US",
            "telephone_number": "303-755-4955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLVERE",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0016239",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.