Individual provider Active NPI

Sara Grenier, DPT

  • Physical Therapist
  • Weatogue, CT
National Provider Identifier
1164824520
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009172 Issued in CT
Practice address
138 Hopmeadow St
Weatogue, CT 06089-9793
Phone
(860) 413-2073
Fax
(860) 413-2081
NPI assigned
Sep 17, 2014
Last updated
Apr 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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 009172 CT Primary

Addresses

Primary practice location

138 Hopmeadow St
Weatogue, CT 06089-9793

Mailing address

138 Hopmeadow St
Weatogue, CT 06089-9793
Phone (860) 413-2073

Other names 1

  • Sara Bronner Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150814013541 CT Practitioner - Physical Therapist in Private Practice 5395050645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Live Every Day L.L.CGroup PAC ID 4284839176, 6 clinicians

Practice addresses (Care Compare)

768 S St
Suffield, CT 06078-2514
Phone (860) 413-2073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009172CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Live Every Day LLC Physical Therapist CurrentSince Apr 30, 2015 Accepting new patients
Live Every Day L.L.C Past Accepting new patients

Locations

68 Bridge St
Unit 111
Suffield, CT 06078
Phone (860) 254-5190

768 South St
Suffield, CT 06078
Phone (860) 254-5190

138 Hopmeadow St
Weatogue, CT 06089
Phone (860) 413-2073

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1164824520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 HOPMEADOW ST",
            "city": "WEATOGUE",
            "state": "CT",
            "postal_code": "060899793",
            "telephone_number": "860-413-2073",
            "fax_number": "860-413-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 HOPMEADOW ST",
            "city": "WEATOGUE",
            "state": "CT",
            "postal_code": "060899793",
            "telephone_number": "860-413-2073",
            "fax_number": "860-413-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENIER",
        "first_name": "SARA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "009172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "BRONNER",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Weatogue, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.