Individual provider Active NPI

Sarah M Parker, PT, DPT

  • Physical Therapist
  • Avon, CT
National Provider Identifier
1790330686
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12351 Issued in CT
Practice address
302 W Main St Ste 204
Avon, CT 06001-4306
Phone
(860) 679-0430
NPI assigned
Aug 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12351 CT Primary

Addresses

Primary practice location

302 W Main St Ste 204
Avon, CT 06001-4306

Mailing address

302 W Main St Ste 204
Avon, CT 06001-4306
Phone (860) 679-0430

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210909003626 MA Practitioner - Physical Therapist in Private Practice 1557767936 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

265 Benton Dr
Suite 101104
East Longmeadow, MA 01028-3219
Phone (714) 785-4666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12351CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New England Orthopedic Surgeons Physical Therapist CurrentSince Sep 7, 2021 Accepting new patients
Northeast Orthopaedic Alliance PLLC CurrentSince Mar 1, 2024 Accepting new patients
New England Orthopedic Surgeons CurrentSince Sep 7, 2021 Accepting new patients
Northeast Orthopaedic Alliance PLLC CurrentSince Mar 1, 2024 Accepting new patients
Magna Physical Therapy & Golf Medicine Center, LLC CurrentSince Aug 11, 2019 Accepting new patients

Locations

302 W Main St
Ste 204
Avon, CT 06001
Phone (860) 679-0430

265 Benton Dr
Ste 101
East Longmeadow, MA 01028
Phone (714) 785-4666

265 Benton Dr
East Longmeadow, MA 01028
Phone (413) 525-1192

265 Benton Dr
Ste 104
East Longmeadow, MA 01028

300 Birnie Ave
Ste 201
Springfield, MA 01107
Phone (413) 233-1292

150 Flanders Rd
Westborough, MA 01581
Phone (508) 870-2222

Organizations & group practices 5

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": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1790330686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W MAIN ST STE 204",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014306",
            "telephone_number": "860-679-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W MAIN ST STE 204",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014306",
            "telephone_number": "860-679-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "SARAH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "12351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.