Individual provider Active NPI

Sarah E Bicknell, P.T.

  • Physical Therapist
  • Pawcatuck, CT
National Provider Identifier
1609190966
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT02294 Issued in RI
Practice address
37 S Broad St Ste 12
Pawcatuck, CT 06379-7909
Phone
(860) 495-1919
Fax
(860) 495-0130
NPI assigned
Mar 16, 2010
Last updated
Apr 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11164 CT
Physical Therapist 225100000X PT02294 RI Primary

Addresses

Primary practice location

37 S Broad St Ste 12
Pawcatuck, CT 06379-7909

Mailing address

37 S Broad St Ste 12
Pawcatuck, CT 06379-7909
Phone (860) 495-1919

Other names 1

  • Sarah E Spino Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100524000019 RI Practitioner - Physical Therapist in Private Practice 0941339311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11164CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ptsma, Inc. Physical Therapist PastSince Apr 13, 2025 Accepting new patients
Physical Therapy Health Services, Inc Physical Therapist PastSince Oct 19, 2015 Accepting new patients
Ptsma Inc PastSince Apr 13, 2025 Accepting new patients

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": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1609190966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 S BROAD ST STE 12",
            "city": "PAWCATUCK",
            "state": "CT",
            "postal_code": "063797909",
            "telephone_number": "860-495-1919",
            "fax_number": "860-495-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 S BROAD ST STE 12",
            "city": "PAWCATUCK",
            "state": "CT",
            "postal_code": "063797909",
            "telephone_number": "860-495-1919",
            "fax_number": "860-495-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKNELL",
        "first_name": "SARAH",
        "middle_name": "E",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-16",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "11164",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT02294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "SPINO",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pawcatuck, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.

Verify at the official NPI Registry.