Provider Demographics
NPI:1538456744
Name:SAGER, TESSA ELIZABETH (DPT)
Entity Type:Individual
Prefix:DR
First Name:TESSA
Middle Name:ELIZABETH
Last Name:SAGER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:TESSA
Other - Middle Name:ELIZABETH
Other - Last Name:MOSIER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:423-405-6356
Mailing Address - Fax:
Practice Address - Street 1:40 HATCH RUN RD STE B1
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365-5204
Practice Address - Country:US
Practice Address - Phone:814-273-2175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-08
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034025-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
12292619OtherCAQH