Individual provider Active NPI

Sara Leach, PT, DPT

  • Physical Therapist
  • West Orange, NJ
National Provider Identifier
1285090795
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01651600 Issued in NJ
Practice address
17 Glen Rd
West Orange, NJ 07052-4603
Phone
(973) 325-2322
NPI assigned
Jan 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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 40QA01651600 NJ Primary

Addresses

Primary practice location

17 Glen Rd
West Orange, NJ 07052-4603

Mailing address

17 Glen Rd
West Orange, NJ 07052-4603
Phone (973) 325-2322

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170508000570 NJ Practitioner - Physical Therapist in Private Practice 8123305844 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Denville Physical Therapy LLCGroup PAC ID 3274859798, 10 clinicians

Practice addresses (Care Compare)

3155 State Route 10
Suite 112
Denville, NJ 07834-3430
Phone (973) 366-1600

3155 State Route 10 E
Suite 112
Denville, NJ 07834-3430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01651600NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Denville Physical Therapy, LLC Physical Therapist CurrentSince Sep 20, 2021 Accepting new patients
Trinity Rehab Somerset PA Physical Therapist CurrentSince Oct 8, 2019 Accepting new patients
Trinity Rehab Somerset PA Physical Therapist Current Accepting new patients
South Orange Chiropractic Center CurrentSince Mar 4, 2019 Accepting new patients
Trinity Rehab Somerset PA CurrentSince Oct 8, 2019 Accepting new patients

Locations

3155 State Route 10
Ste 112
Denville, NJ 07834
Phone (973) 366-1600

333 Route 46
Ste 104
Mountain Lakes, NJ 07046
Phone (973) 366-1600

328 Newman Springs Rd
Ste 10
Red Bank, NJ 07701

175 Route 37 W
#R
Toms River, NJ 08755

Organizations & group practices 5

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": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1285090795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 GLEN RD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524603",
            "telephone_number": "973-325-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 GLEN RD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524603",
            "telephone_number": "973-325-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "SARA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01651600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.