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NPI Code Detail

MEDICARE: DR. SARA MARTIN PT, DPT

MEDICARE:  DR. SARA  MARTIN  PT, 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
1225100000XPhysical TherapistCPO32145TOK
2225100000XPhysical TherapistCP043096TNC
3225100000XPhysical Therapist2022043945MO

General Provider Information

NPI Number : 1992417240
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARA MARTIN PT, DPT
Provider Business Mailing Address
First Line : 519 AVENIDA CESAR E CHAVEZ
Second Line :
City : KANSAS CITY
State : MO
Zip : 64108-2133
Country : US
Telephone Number : 888-913-1910
Fax Number :
Provider Business Practice Location Address
First Line : 519 AVENIDA CESAR E CHAVEZ
Second Line :
City : KANSAS CITY
State : MO
Zip : 64108-2133
Country : US
Telephone Number : 888-913-1910
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2022
Last Update Date : 03/25/2025

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