Individual provider Active NPI

Sara Vengrove, DPT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1619379823
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0015307 Issued in CO
Practice address
777 Bannock St # Mc3240
Denver, CO 80204-4507
Phone
(303) 436-6000
NPI assigned
Sep 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 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 21335 MA
Physical Therapist 225100000X PTL.0015307 CO Primary

Addresses

Primary practice location

777 Bannock St # Mc3240
Denver, CO 80204-4507

Mailing address

915 Commonwealth Ave Rear
Boston, MA 02215-1394
Phone (617) 358-3700

Other practice location 1

915 Commonwealth Ave Rear
Boston, MA 02215-1394
Phone (617) 358-3700

Other practice location 2

1248 S Broadway
Denver, CO 80210-1504
Phone (720) 699-9095

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180529002526 CO Practitioner - Physical Therapist in Private Practice 5799000451 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1248 S Broadway
Denver, CO 80210-1504
Phone (720) 699-9095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21335MAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 22, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Oct 22, 2024 Accepting new patients
Orthopedic Centers of Colorado, LLC Physical Therapist CurrentSince Feb 24, 2025 Accepting new patients
Denver Health and Hospital Authority CurrentSince Sep 3, 2022 Accepting new patients
Orthopedic Centers of Colorado, LLC Physical Therapist CurrentSince Feb 24, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 22, 2024 Accepting new patients
Prosthetic & Orthotic Group - Southern Colorado, LLC CurrentSince Apr 6, 2025 Accepting new patients
Denver Health and Hospital Authority CurrentSince Sep 3, 2022 Accepting new patients

Locations

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714

1248 S Broadway
Denver, CO 80210
Phone (720) 699-9095

777 Bannock St
Denver, CO 80204

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

1310 Fortino Blvd
Ste B
Pueblo, CO 81008
Phone (719) 542-1313

415 N Greenwood St
Ste E
Pueblo, CO 81003
Phone (719) 542-1313

Organizations & group practices 9

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": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1619379823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 COMMONWEALTH AVE REAR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022151394",
            "telephone_number": "617-358-3700",
            "fax_number": "617-358-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST # MC3240",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044507",
            "telephone_number": "303-436-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Commonwealth Ave Rear",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022151394",
            "country_code": "US",
            "telephone_number": "617-358-3700",
            "fax_number": "617-358-3710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1248 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802101504",
            "country_code": "US",
            "telephone_number": "720-699-9095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENGROVE",
        "first_name": "SARA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "21335",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0015307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

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