Jarett Sadler, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019520 Issued in MI

Practice address

1455 W Fair Ave
Marquette, MI 49855-2654

Phone

(906) 226-0574

Fax

(888) 347-1135

NPI assigned

Mar 5, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bmor LLC

  • Physical Therapist
  • Escanaba, MI
  • NPI 1912764127
  NPD

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1992330476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 W FAIR AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552654",
            "telephone_number": "906-226-0574",
            "fax_number": "888-347-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 W FAIR AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552654",
            "telephone_number": "906-226-0574",
            "fax_number": "888-347-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADLER",
        "first_name": "JARETT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.stayactiveup.com",
            "affiliation": "N",
            "address_1": "1455 W Fair Ave",
            "city": "Marquette",
            "state": "MI",
            "country_code": "US",
            "postal_code": "498552654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel C Rydholm, LLMSW
• Sarah Rymkos
• Amy Rynn, LCPC, ATR-BC, LPC
• Alexandra Saari Ellis, LMSW, DP
• Cassandra Saari, LMT
• Frank J Sagato, MD
• Saswat Sahu, MD
• Brenda Marie Salisbury
• Cody Lawrence Salverson
• Sam'S Shoe Repair

• Physical Therapist in Marquette, MI
• Providers in Marquette, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.