Active NPI
Sara Jane Tine
- Physical Therapist
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10325
- Practice address
- 230 George St
New Haven, CT 06510-3224 - Phone
- (203) 498-5980
- NPI assigned
- Nov 8, 2014
- Last updated
- Nov 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10325 | CT | Primary |
Addresses
Primary practice location
230 George St
New Haven, CT 06510-3224
Mailing address
230 George St
New Haven, CT 06510-3224
Other names 1
- Sara Jane Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10325 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bristol Orthopaedics LLC | Current | Accepting new patients | |
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Orthopedic Associates of Hartford,PC | Current | Accepting new patients | |
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Orthopedic Associates of Hartford,PC | Current | Accepting new patients | |
| Powerback Rehabilitation LLC | Physical Therapist | Past | Accepting new patients |
Locations
641 Clark Ave
Ste A
Bristol, CT 06010
Phone (860) 582-0389
641 Clark Ave
Ste B
Bristol, CT 06010
Phone (860) 582-6603
31 Seymour St
Ste 100
Hartford, CT 06106
Phone (860) 549-8276
201 N Mountain Rd
Ste 302
Plainville, CT 06062
Phone (860) 348-9338
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441
Organizations & group practices 7
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.
-
- Orthopaedic Surgery Physician
- Bristol, CT
- NPI 1104800788
-
- Physical Therapist
- Farmington, CT
- NPI 1265178354
-
- Orthopaedic Surgery Physician
- Hartford, CT
- NPI 1972500304
-
dba Powerback Rehabilitation
- Physical Therapist
- Glastonbury, CT
- NPI 1174493126
-
- Durable Medical Equipment & Medical Supplies
- Enfield, CT
- NPI 1235922584
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
-
dba Powerback Rehabilitation
- Physical Therapist
- Woodbridge, VA
- NPI 1790640761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1366848962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 GEORGE ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 GEORGE ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103224",
"telephone_number": "203-498-5980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINE",
"first_name": "SARA",
"middle_name": "JANE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-08",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "10325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "SMITH",
"middle_name": "JANE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.