Individual provider Active NPI

Sara Semones Castonguay, P.T.

  • Physical Therapist
  • Lebanon, PA
National Provider Identifier
1336278241
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011045L Issued in PA
Practice address
318 Catherine CT.
Lebanon, PA 17042-6445
Phone
(717) 277-0786
NPI assigned
Mar 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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 PT011045L PA Primary

Addresses

Primary practice location

318 Catherine CT.
Lebanon, PA 17042-6445

Mailing address

318 Catherine CT.
Lebanon, PA 17042-6445
Phone (717) 277-0786

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081222000375 ME Practitioner - Physical Therapist in Private Practice 6204998446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of New England, College of Osteo Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

30 Community Dr
Camden, ME 04843-2061
Phone (207) 230-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT011045LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Therapy Outpatient Services of Me, LLC Physical Therapist CurrentSince Dec 17, 2023 Accepting new patients
Preferred Therapy Outpatient Services of Me, LLC Physical Therapist CurrentSince Dec 17, 2023 Accepting new patients
Integrative Manual Therapy Associates Physical Therapist PastSince Oct 1, 2006 Accepting new patients
Dr. Baum Neuropsychology, PLLC Past Accepting new patients

Locations

850 Silas Deane Hwy
Fl 2
Wethersfield, CT 06109
Phone (860) 610-0400

30 Community Dr
Camden, ME 04843
Phone (207) 230-6100

Organizations & group practices 4

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336278241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 CATHERINE CT.",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170426445",
            "telephone_number": "717-277-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 CATHERINE CT.",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170426445",
            "telephone_number": "717-277-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTONGUAY",
        "first_name": "SARA",
        "middle_name": "SEMONES",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT011045L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

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.