Sara Elizabeth Addesa, MSPT
Individual provider Active NPI Physical Therapist · Salem, MA
NPI 1992946537 · NPPES record last updated Mar 11, 2009
Key facts
- NPI
- 1992946537
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 15951 (MA)
- Practice address
- 84 Highland Ave
Suite 201
Salem, MA 01970-2727 - Phone
- (978) 741-0880
- Fax
- (978) 740-5595
- NPI assigned
- Mar 11, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coastal Orthopedic Associates Inc
Practice addresses (Care Compare)
152 Conant St
Suite 301
Beverly, MA 01915-1659
Phone (978) 927-3040
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090428000541 | MA | Practitioner - Physical Therapist in Private Practice | 7214085471 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Orthopedic Associates Inc | Current |
Accepting new patients | |
| Coastal Orthopedic Associates Inc | Physical Therapist | Current |
Accepting new patients |
Locations
152 Conant St
Ste 301
Beverly, MA 01915
Phone (978) 927-3040
152 Conant St
Beverly, MA 01915
Phone (978) 927-1919
99 Conifer Hill Dr
Ste 204
Danvers, MA 01923
Phone (978) 927-3040
Interoperability endpoints
- sara.addesa.1@30242.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15951 | MA | Yes |
Addresses
Primary practice location
84 Highland Ave
Suite 201
Salem, MA 01970-2727
Mailing address
84 Highland Ave
Suite 201
Salem, MA 01970-2727
Phone (978) 741-0880
Other providers in Salem, MA
- Margaret Ann Ackerman
- Alannah Rain Acosta
- Pablo Acosta
- Leslie Marie Adams
- Catherine Adamson
- Kathleen Keough Adee
- Adele McKeon Millard LLC
- Elizabeth Adewale
- Gaby Mikhael Adisho
- Comlan Adjindah
All providers in Salem, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.