Sara Pellegreen, PT, MS

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1055150 Issued in VA

Practice address

1301 Hwy 407
Suite 206
Lewisville, TX 75077-2124

Phone

(972) 317-7775

Fax

(972) 317-6356

NPI assigned

Aug 31, 2010

Last updated

Aug 31, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Rehab Services Unlimited, Inc.

  • Pediatric Occupational Therapist
  • Lewisville, TX
  • NPI 1679796494
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1508172388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 HWY 407",
            "address_2": "SUITE 206",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750772124",
            "telephone_number": "972-317-7775",
            "fax_number": "972-317-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 HWY 407",
            "address_2": "SUITE 206",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750772124",
            "telephone_number": "972-317-7775",
            "fax_number": "972-317-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGREEN",
        "first_name": "SARA",
        "name_prefix": "Mrs.",
        "credential": "PT, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "VA",
            "license": "1055150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra C Peak, MD
• Peakrx Therapy
• Pecan Pharmacy LLC (Pecan Pharmacy)
• Yohan Peck
• Pediplace
• Rachel Joy Penner
• Erin Pepe
• Sheila Perduyn
• Femina Pereira
• Alejandra Perez-Moore, MD

• Pediatric Physical Therapist in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Pediatric Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.