Healthcare Provider Details

I. General information

NPI: 1134069941
Provider Name (Legal Business Name): ANHAR SABRI DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 LAKE AVE N
WORCESTER MA
01605-2464
US

IV. Provider business mailing address

281 LINCOLN ST PROVIDER ENROLLMENT
WORCESTER MA
01605-2138
US

V. Phone/Fax

Practice location:
  • Phone: 508-334-1000
  • Fax:
Mailing address:
  • Phone: 508-334-8015
  • Fax: 508-334-8105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License NumberPTL28020
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: