Provider Demographics
NPI:1114983129
Name:STILLINGS, SARAH R (PT CHT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:R
Last Name:STILLINGS
Suffix:
Gender:F
Credentials:PT CHT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:R
Other - Last Name:FARMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT CHT
Mailing Address - Street 1:1101 OHIO DR
Mailing Address - Street 2:STE 105
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093
Mailing Address - Country:US
Mailing Address - Phone:972-599-9594
Mailing Address - Fax:972-599-9364
Practice Address - Street 1:1101 OHIO DR
Practice Address - Street 2:STE 105
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093
Practice Address - Country:US
Practice Address - Phone:972-599-9594
Practice Address - Fax:972-599-9364
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11180162251H1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8T3228OtherBLUE CROSS BLUE SHIELD
TX4724960001OtherPALMETTO GBA DMERC
TX8T3228OtherBLUE CROSS BLUE SHIELD
TX4724960001OtherPALMETTO GBA DMERC