Individual provider Active NPI

Sara Gregg Riedel, P.T.

  • Physical Therapist
  • Milford, CT
National Provider Identifier
1285739169
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7443 Issued in CT
Practice address
155 Hill St
Suite B
Milford, CT 06460-3192
Phone
(203) 882-9384
Fax
(203) 882-9385
NPI assigned
Sep 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 7443 CT Primary

Addresses

Primary practice location

155 Hill St
Suite B
Milford, CT 06460-3192

Mailing address

181 Melba St
Apt. 218
Milford, CT 06460-7666
Phone (646) 872-7430

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040304000597 CT Practitioner - Physical Therapist in Private Practice 9830086602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Florida College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center Rehabilitation and Sports Therapy, LLCGroup PAC ID 8628038270, 5 clinicians

Practice addresses (Care Compare)

60 Commerce Park
Suite D
Milford, CT 06460-3513
Phone (203) 882-9384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7443CTMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Center Rehabilitation & Sports Therapy LLC Physical Therapist CurrentSince Apr 4, 2005 Accepting new patients
Integrated Rehabilitation Services, LLC Physical Therapist PastSince Jan 9, 2004 Accepting new patients
Integrated Rehabilitation Services Limited Partnership Physical Therapist PastSince Aug 28, 2022 Accepting new patients

Locations

155 Hill St
Milford, CT 06460
Phone (203) 882-9384

155 Hill St
Ste B
Milford, CT 06460
Phone (203) 882-9384

60 Commerce Park
Ste D
Milford, CT 06460
Phone (203) 882-9384

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, 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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285739169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 MELBA ST",
            "address_2": "APT. 218",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064607666",
            "telephone_number": "646-872-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HILL ST",
            "address_2": "SUITE B",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603192",
            "telephone_number": "203-882-9384",
            "fax_number": "203-882-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEDEL",
        "first_name": "SARA",
        "middle_name": "GREGG",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "7443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.