Active NPI
Sarah Ann Burd
- Physical Therapist
- Evansville, WI
National Provider Identifier
1992436042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070022840
- Practice address
- 535 E Main St
Evansville, WI 53536-1177 - Phone
- (608) 882-9080
- NPI assigned
- Jun 20, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 070022840 | IL | Primary |
Addresses
Primary practice location
535 E Main St
Evansville, WI 53536-1177
Mailing address
35 N 6TH St
Evansville, WI 53536-1072
Phone (815) 228-2071
Other names 1
- Sarah Ann Stewart
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070022840 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
535 E Main St
Evansville, WI 53536
Phone (608) 774-2477
Organizations & group practices 1
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 Therapist
- Evansville, WI
- NPI 1821308313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1992436042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 N 6TH ST",
"city": "EVANSVILLE",
"state": "WI",
"postal_code": "535361072",
"telephone_number": "815-228-2071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 E MAIN ST",
"city": "EVANSVILLE",
"state": "WI",
"postal_code": "535361177",
"telephone_number": "608-882-9080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURD",
"first_name": "SARAH",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-20",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070022840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "STEWART",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Evansville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.