Individual provider Active NPI

Sarah C. Zahner, PT

  • Pediatric Physical Therapist
  • Glastonbury, CT
National Provider Identifier
1508949199
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
007169 Issued in CT
Practice address
76 Eastern Blvd
Suite 101
Glastonbury, CT 06033-1201
Phone
(860) 633-1016
Fax
(860) 633-2257
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 007169 CT Primary

Addresses

Primary practice location

76 Eastern Blvd
Suite 101
Glastonbury, CT 06033-1201

Mailing address

207 Shenipsit Lake Rd
Tolland, CT 06084-2307

Other identifiers 2

IdentifierTypeStateIssuer
1196866OtherCTAETNA
080007169CT03OtherCTBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007169CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreline Physical Therapy, LLC Past Accepting new patients
Integrated Rehabilitation Services Limited Partnership Pediatrics Past Accepting new patients
SBK Interventions, LLC Past Accepting new patients
Integrated Rehabilitation Services, LLC PastSince Sep 15, 2014 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1508949199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SHENIPSIT LAKE RD",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060842307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 EASTERN BLVD",
            "address_2": "SUITE 101",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331201",
            "telephone_number": "860-633-1016",
            "fax_number": "860-633-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAHNER",
        "first_name": "SARAH",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CT",
            "license": "007169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1196866",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "080007169CT03",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.