MEDICARE: RACHEL M. SARGEANT DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT3555	ME
2	225100000X	Physical Therapist	PT30176	FL
3	225100000X	Physical Therapist	2305215638	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PT30176	OTHER	FL	FLORIDA DOH LICENSE
2	PT3555	OTHER	ME	PHYSICAL THERAPY LICENSE

General Provider Information

NPI Number	:	1154601169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL M. SARGEANT DPT

Provider Business Mailing Address
First Line	:	PSC 819 BOX 4597
Second Line	:
City	:	FPO
State	:	AE
Zip	:	09645
Country	:	ES
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3253 TAYLOR RD STE 200
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23321-2452
Country	:	US
Telephone Number	:	757-881-1137
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2011
Last Update Date	:	04/19/2023

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