Provider Demographics
NPI:1003940057
Name:SARMIERE, CASEY EDWARDS (PT)
Entity Type:Individual
Prefix:MRS
First Name:CASEY
Middle Name:EDWARDS
Last Name:SARMIERE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:CASEY
Other - Middle Name:ELIZABETH
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:105 NEWTOWN RD # A
Mailing Address - Street 2:SUITE 5
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-4114
Mailing Address - Country:US
Mailing Address - Phone:203-739-0765
Mailing Address - Fax:203-739-0792
Practice Address - Street 1:20 GERMANTOWN RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-5023
Practice Address - Country:US
Practice Address - Phone:203-798-6523
Practice Address - Fax:203-798-0393
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT005959225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC811801Medicare PIN