Healthcare Provider Details

I. General information

NPI: 1720718273
Provider Name (Legal Business Name): SARAH KATZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2022
Last Update Date: 07/15/2024
Certification Date: 07/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 20TH ST NW
WASHINGTON DC
20036-3406
US

IV. Provider business mailing address

1200 N VEITCH ST APT 336
ARLINGTON VA
22201-5822
US

V. Phone/Fax

Practice location:
  • Phone: 202-416-2110
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number2305215179
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number210002367
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: