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NPI Code Detail

MEDICARE: SAGE REHAB, INC

MEDICARE: SAGE REHAB, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist
2225X00000XOccupational Therapist
3235Z00000XSpeech-Language Pathologist
42084N0400XNeurology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111114OTHERCTORTHONET
250SAGERHBCT01OTHERCTANTHEM BC/BS
3682427OTHERCTUNITED HEALTHCARE
47169591OTHERCTAETNA
511114OTHERCTCIGNA
611114OTHERCTHEALTHNET
7B0081986679OTHERCTANTHEM BLUE CARE FAMILY P

General Provider Information

NPI Number : 1063523652
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAGE REHAB, INC
Provider Business Mailing Address
First Line : 701 COTTAGE GROVE RD
Second Line : SUITE E130
City : BLOOMFIELD
State : CT
Zip : 06002-3059
Country : US
Telephone Number : 860-286-0838
Fax Number : 860-286-0109
Provider Business Practice Location Address
First Line : 701 COTTAGE GROVE RD
Second Line : SUITE E130
City : BLOOMFIELD
State : CT
Zip : 06002-3059
Country : US
Telephone Number : 860-286-0838
Fax Number : 860-286-0109
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. SUSAN M ZEE
Credential : M.ED
Telephone Number : 860-286-0838
Provider Enumeration Date : 08/31/2006
Last Update Date : 09/11/2025

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