Provider Demographics
NPI:1497757959
Name:KING, SARA A (PT)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:A
Last Name:KING
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 PLYMOUTH RD STE C
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-3864
Mailing Address - Country:US
Mailing Address - Phone:717-840-4149
Mailing Address - Fax:717-840-9049
Practice Address - Street 1:1010 PLYMOUTH RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-3864
Practice Address - Country:US
Practice Address - Phone:717-840-4149
Practice Address - Fax:717-840-9049
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT001632E225100000X
PADAPT0017872251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4358821OtherAETNA
PA20009235OtherAMERIHEALTH MERCY
MD52699602OtherCAREFIRST
MD0002OtherCAREFIRST
PA016212130003Medicaid
PA2226008OtherAETNA
PA01974801OtherCAPITAL BLUE CROSS
PA617825OtherHIGHMARK
PA338294OtherALLIANCE
650018474OtherRAILROAD MEDICARE
PA01974801OtherCAPITAL BLUE CROSS