Sarah Lewis Wandell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT12840 Issued in FL

Practice address

5025 Soundside Dr
Gulf Breeze, FL 32563-8921

Phone

(850) 416-7656

Fax

(850) 416-7348

NPI assigned

Jun 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1992733869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 SOUNDSIDE DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325638921",
            "telephone_number": "850-934-7964",
            "fax_number": "850-416-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 SOUNDSIDE DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325638921",
            "telephone_number": "850-416-7656",
            "fax_number": "850-416-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANDELL",
        "first_name": "SARAH",
        "middle_name": "LEWIS",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT12840",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "PT 12840",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "810762900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "883137800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandy Annette Walker
• Kelli Nicole Walker
• Harlan David Wallner, RMHCI
• Gail Walsh, LMT
• Julie Walsh
• Jayden Ward
• Crystal Warner, CSA
• Christopher Neil Watson, PA-C
• Jennifer Michelle Watson, MPT
• Scarlet Watson, MS, CCC-SLP

• Physical Therapist in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.