Provider Demographics
NPI:1790846160
Name:FERGUSON, SARAH (MPT)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 727
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-0727
Mailing Address - Country:US
Mailing Address - Phone:919-577-9200
Mailing Address - Fax:
Practice Address - Street 1:251 W CENTER ST
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-5900
Practice Address - Country:US
Practice Address - Phone:919-577-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6263225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7211052Medicaid
NC1293HOtherBCBS
NC2503983CMedicare PIN