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Dr. Sage Stout Johannessen , DPT

Physician β€’ Charlottesville, VA

Active NPI 1730899881 Individual Practitioner Female Practitioner
Practice location in NPPES

3040 Berkmar Dr Ste A1
Charlottesville, VA 229011593

Call 4349798628 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3040 Berkmar Dr Ste A1

Charlottesville, VA 229011593

Telephone 4349798628
Organization at the Same NPPES Address or Phone
The Charleston Center, Inc Facility NPI 1427150630

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Waynesboro, VA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-11-05
Clinic/Center - Physical Therapy Primary Specialty

NUCC Taxonomy Code: 261QP2000X

License # reported to NPPES VA 2305212499

An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Secondary Practice Locations

200 W 12th St Ste A1-100

Waynesboro, VA 229804771

Phone: 5409415501

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Dr. Angelique Demeo , DPT

Physical Therapist

NPI 1801468632

Doctor of Physical Therapy

NPI 1578014478

Doctor of Physical Therapy

NPI 1699317420

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location November 05, 2025

Registered at 3040 BERKMAR DR STE A1, CHARLOTTESVILLE, VA 229011593 (Tel: 4349798628)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2025

Clinic/Center (license number reported to NPPES: VA 2305212499)

βœ…
NPI Profile Active November 30, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 30, 2022

Registered at 200 W 12TH ST STE A1-100, WAYNESBORO, VA 229804771 (Tel: 5409415501)

πŸ“
Business Mailing Address (Initial Record) November 30, 2022

Registered at 1618 CAMBRIDGE CIR, CHARLOTTESVILLE, VA 229031316 (Tel: 8029220753)

πŸ‘€
Provider Name / Credentials (Initial Record) November 30, 2022

Recorded as SAGE JOHANNESSEN, DPT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2022

Physical Therapist (license number reported to NPPES: VA 2305212499)

🟒
Initial NPI Registration & Enumeration November 30, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1730899881
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2022
Last Update: November 05, 2025
Sole Proprietor: No

Mailing Address

1618 Cambridge Cir

Charlottesville, VA 229031316

Phone: 8029220753

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.