Provider Demographics
NPI:1346289006
Name:PRICE, SARAH T (PT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:T
Last Name:PRICE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:THERESE
Other - Last Name:DAUL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MARCUS HOOK
Mailing Address - State:PA
Mailing Address - Zip Code:19061-4513
Mailing Address - Country:US
Mailing Address - Phone:610-859-8850
Mailing Address - Fax:610-859-7876
Practice Address - Street 1:1651-53 PULASKI HIGHWAY
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-1453
Practice Address - Country:US
Practice Address - Phone:302-834-1550
Practice Address - Fax:302-834-1549
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT016106225100000X
DEJ1-0001688225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2123153OtherPA BLUE SHIELD
DE1346289006Medicaid
P00646621OtherRAILROAD MEDICARE
DE2292473000OtherIBC
000050227OtherDPCI
000050227OtherDPCI
DE010517D80Medicare ID - Type Unspecified
DE2292473000OtherIBC