MEDICARE: SARAH HOWELLS PT, OCS

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	2251X0800X	Orthopedic Physical Therapist	070011550	IL

General Provider Information

NPI Number	:	1033450580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH HOWELLS PT, OCS

Provider Business Mailing Address
First Line	:	1713 W FARRAGUT AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-2011
Country	:	US
Telephone Number	:	312-203-1841
Fax Number	:

Provider Business Practice Location Address
First Line	:	1725 W HARRISON ST STE 440
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-3836
Country	:	US
Telephone Number	:	312-563-2454
Fax Number	:

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

Provider Enumeration Date	:	03/08/2013
Last Update Date	:	05/30/2023

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