Provider Demographics
NPI:1689145377
Name:ROPER, SARAH KATHERINE (DPT)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:KATHERINE
Last Name:ROPER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:KATHERINE
Other - Last Name:ROPER ECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:16120 US HIGHWAY 176
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:SC
Mailing Address - Zip Code:29108-9483
Mailing Address - Country:US
Mailing Address - Phone:803-960-8127
Mailing Address - Fax:
Practice Address - Street 1:2669 KINARD ST
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:SC
Practice Address - Zip Code:29108-2911
Practice Address - Country:US
Practice Address - Phone:803-405-7280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8714225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist