Sara E Blasing, DPT
Individual provider Active NPI Physical Therapist · Lafayette, IN
NPI 1275957938 · NPPES record last updated Oct 30, 2014
Key facts
- NPI
- 1275957938
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 20980 (MA)
- Practice address
- 1411 S Creasy LN
Suite 100
Lafayette, IN 47905-7438 - Phone
- (765) 447-5552
- Fax
- (765) 449-1054
- NPI assigned
- Feb 14, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Merrimack Valley Physical Therapy
Practice addresses (Care Compare)
76 Northeastern Blvd
Suite 24B
Nashua, NH 03062-3174
Phone (603) 943-5029
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA, NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140509000923 | MA | Practitioner - Physical Therapist in Private Practice | 8921231390 | Reassigns benefits to 1 organization |
| I20220125000670 | NH | Practitioner - Physical Therapist in Private Practice | 8921231390 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20980 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Innovations, Inc | Physical Therapist | Current |
Accepting new patients |
| Merrimack Valley Physical Therapy | Physical Therapist | Current |
Accepting new patients |
Locations
489 Washington St
Ste 200
Auburn, MA 01501
Phone 5087210000199
703 Granite St
Ste 300
Braintree, MA 02184
Phone (603) 626-4205
40 S River Rd
Unit 58
Bedford, NH 03110
Phone (603) 626-4205
12 Parmenter Rd
Unit C7
Londonderry, NH 03053
Phone (603) 434-6592
76 Northeastern Blvd
Ste 24B
Nashua, NH 03062
Phone (603) 943-5029
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 20980 | MA | Yes |
Addresses
Primary practice location
1411 S Creasy LN
Suite 100
Lafayette, IN 47905-7438
Mailing address
PO Box 4699
Lafayette, IN 47903-4699
Phone (765) 449-2732
Other providers in Lafayette, IN
- Susan Lynne Blakemore
- Annalise Bland
- John William Blank
- Mallory C Blankenberger
- Melissa A Blankman
- Naomi Blissett
- Shelly Lyn Blocher
- Elyse Blue
- James Lee Blumling
- Nicholas J. Bobis
All providers in Lafayette, IN · Physical Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.