Provider Demographics
NPI:1063523652
Name:SAGE REHAB, INC
Entity type:Organization
Organization Name:SAGE REHAB, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ZEE
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:860-286-0838
Mailing Address - Street 1:701 COTTAGE GROVE RD
Mailing Address - Street 2:SUITE E130
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-3059
Mailing Address - Country:US
Mailing Address - Phone:860-286-0838
Mailing Address - Fax:860-286-0109
Practice Address - Street 1:701 COTTAGE GROVE RD
Practice Address - Street 2:SUITE E130
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-3059
Practice Address - Country:US
Practice Address - Phone:860-286-0838
Practice Address - Fax:860-286-0109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Not Answered2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT11114OtherORTHONET
CT50SAGERHBCT01OtherANTHEM BC/BS
CT682427OtherUNITED HEALTHCARE
CT7169591OtherAETNA
CT11114OtherCIGNA
CT11114OtherHEALTHNET
CTB0081986679OtherANTHEM BLUE CARE FAMILY P
CT11114OtherHEALTHNET
CT11114OtherORTHONET