Individual provider Active NPI

Sarah Irene Petry, MS CCC-SLP

  • Speech-Language Pathologist
  • Washington, DC
National Provider Identifier
1992445449
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP001414 Issued in DC
Practice address
1227 4TH St NE
Washington, DC 20002-3431
Phone
(202) 546-4477
NPI assigned
Mar 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP001414 DC Primary

Addresses

Primary practice location

1227 4TH St NE
Washington, DC 20002-3431

Mailing address

1710 Trinidad Ave NE Apt 4
Washington, DC 20002-7846
Phone (603) 732-2099

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://osse.pcgeducation.com/dctwpcs Other

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP001414DCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Two Rivers Public Charter School PastSince Apr 3, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1992445449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 TRINIDAD AVE NE APT 4",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200027846",
            "telephone_number": "603-732-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 4TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023431",
            "telephone_number": "202-546-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRY",
        "first_name": "SARAH",
        "middle_name": "IRENE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": "SLP001414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://osse.pcgeducation.com/dctwpcs",
            "affiliation": "N",
            "endpointDescription": "A web based special education case management tool",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "To provide a location to access all important documents related to student's IEP.",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Contains all documents required to provide access to students within the school setting.",
            "address_1": "1227 4th St NE",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200023431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.