NPIMap

Organization Active NPI

Sagnella Physical Therapy PLLC

  • Physical Therapist
  • Moriches, NY
National Provider Identifier
1053689323
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
012491 Issued in NY
Legal business name
SAGNELLA PHYSICAL THERAPY PLLC
Doing business as
Sagnella Physical Therapy PLLC
Practice address
11 1St Ave
Moriches, NY 11955-1001
Phone
(631) 566-2793
Fax
(631) 320-0932
NPI assigned
Dec 1, 2011
Last updated
Feb 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Albert Peter Sagnella, MAPTNPI 1235103821
Title
Owner
Phone
(631) 566-2793

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 012491 NY Primary

Addresses

Primary practice location

11 1St Ave
Moriches, NY 11955-1001

Mailing address

PO Box 492
Center Moriches, NY 11934-0492
Phone (631) 566-2793

Other names 1

  • Sagnella Physical Therapy PLLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1053689323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 492",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119340492",
            "telephone_number": "631-566-2793",
            "fax_number": "631-320-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 1ST AVE",
            "city": "MORICHES",
            "state": "NY",
            "postal_code": "119551001",
            "telephone_number": "631-566-2793",
            "fax_number": "631-320-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGNELLA PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "SAGNELLA",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-566-2793",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MAPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sagnella Physical Therapy PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moriches, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.