MEDICARE: DR. SARAH JANNING 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	PT31156	FL

General Provider Information

NPI Number	:	1164175972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH JANNING DPT

Provider Business Mailing Address
First Line	:	9070 W CHEYENNE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-8934
Country	:	US
Telephone Number	:	22-687-2137
Fax Number	:

Provider Business Practice Location Address
First Line	:	4423 NW 6TH PL STE C
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32607-6116
Country	:	US
Telephone Number	:	352-325-2276
Fax Number	:	352-877-4580

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

Provider Enumeration Date	:	02/01/2022
Last Update Date	:	07/02/2025

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