National Provider Identifier
Sara Emilie Mooney
Sara Emilie Mooney is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 334-6000.
Source: public NPPES record, last updated November 30, 2007. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1790704732
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- July 19, 2006
- Last Updated
- November 30, 2007
Practice Location
- 3399 Winton RD S
- Rochester, NY 14623-3057
Phone: (585) 334-6000
Specialties
- Physical Therapist (225100000X)
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Biography
Sara Emilie Mooney is a Rochester-based physical therapist licensed in New York, with public records listing her active professional credential and noting that she has also practiced under the name Sara Emilie Johannessen (CMS record).
Full Record
- NPI
- 1790704732
- Entity Type
- Individual
- Last Name
- Mooney
- First Name
- Sara
- Middle Name
- Emilie
- Provider Other Last Name
- Johannessen
- Provider Other First Name
- Sara
- Provider Other Middle Name
- Emilie
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 3399 Winton RD S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-3057
- Mailing Country
- US
- Mailing Phone
- (585) 334-6000
- Mailing Fax
- (585) 334-2858
- Practice Street Address
- 3399 Winton RD S
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-3057
- Practice Country
- US
- Practice Phone
- (585) 334-6000
- Practice Fax
- (585) 334-2858
- Enumeration Date
- July 19, 2006
- Last Updated
- November 30, 2007
- Sex
- Female
- Sole Proprietor
- No
- Taxonomies
- Physical Therapist (225100000X)
- Other Identifiers
- 11334547 (NY, Caqh), 00355344 (NY)