Provider Demographics
NPI:1053828749
Name:POORE, SARAH MARIE (PT, DPT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:MARIE
Last Name:POORE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 PEAK ONE DR STE 190
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:CO
Mailing Address - Zip Code:80443-5868
Mailing Address - Country:US
Mailing Address - Phone:970-668-0888
Mailing Address - Fax:
Practice Address - Street 1:360 PEAK ONE DR STE 190
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:CO
Practice Address - Zip Code:80443-5868
Practice Address - Country:US
Practice Address - Phone:970-668-0888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-04
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0013962225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist