Individual provider Active NPI

Sara Ansari, DPT

  • Physical Therapist
  • Boston, MA
National Provider Identifier
1053702068
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21775 Issued in MA
Practice address
87 Gainsborough St Apt 408
Boston, MA 02115-6537
Phone
(617) 992-8782
Fax
(617) 380-4006
NPI assigned
Feb 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 21775 MA Primary

Addresses

Primary practice location

87 Gainsborough St Apt 408
Boston, MA 02115-6537

Mailing address

87 Gainsborough St Apt 408
Boston, MA 02115-6537
Phone (617) 992-8782

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.personalptllc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160215001371 MA Practitioner - Physical Therapist in Private Practice 6406150226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

87 Gainsborough St
Apt 408
Boston, MA 02115-6537
Phone (617) 992-8782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21775MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Personal PT Physical Therapist CurrentSince Aug 6, 2019 Accepting new patients
Kennedy Brothers Physical Therapy Inc. Physical Therapist Past Accepting new patients
Motion Works Physical Therapy, LLC Physical Therapist PastSince Dec 21, 2016 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1053702068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 GAINSBOROUGH ST APT 408",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156537",
            "telephone_number": "617-992-8782",
            "fax_number": "617-380-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 GAINSBOROUGH ST APT 408",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156537",
            "telephone_number": "617-992-8782",
            "fax_number": "617-380-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSARI",
        "first_name": "SARA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "21775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.personalptllc.com",
            "affiliation": "N",
            "endpointDescription": "Business Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "87 Gainsborough St Apt 408",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021156537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.