MEDICARE: JESSICA D SAGER PT

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
1	225100000X	Physical Therapist	21927	MD

General Provider Information

NPI Number	:	1982725040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA D SAGER PT

Provider Business Mailing Address
First Line	:	40 UPSHUR RD
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21402-1315
Country	:	US
Telephone Number	:	410-340-8349
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 S WEBER ST
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-1902
Country	:	US
Telephone Number	:	719-630-7774
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	09/14/2023

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