NPIMap

Organization Active NPI

Sana Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • East Aurora, NY
National Provider Identifier
1124738067
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SANA PHYSICAL THERAPY, PLLC
Practice address
123 Grey St Ste 5
East Aurora, NY 14052-2144
Phone
(310) 795-0790
NPI assigned
Dec 1, 2022
Last updated
Dec 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Authorized official

Name
Rachel ClarkNPI 1295928810
Title
President
Phone
(310) 795-0790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

123 Grey St Ste 5
East Aurora, NY 14052-2144

Mailing address

140 Behm Rd
West Falls, NY 14170-9741
Phone (310) 795-0790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230503001436 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8628433257 Receives reassigned benefits from 8 practitioners
Practice locations: East Aurora, NY

National Provider Directory

National Provider Directory

Locations

123 Grey St
Ste 5
East Aurora, NY 14052
Phone (310) 795-0790

Practitioners & affiliated clinicians

Practitioners 9

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": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1124738067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BEHM RD",
            "city": "WEST FALLS",
            "state": "NY",
            "postal_code": "141709741",
            "telephone_number": "310-795-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 GREY ST STE 5",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522144",
            "telephone_number": "310-795-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANA PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-795-0790"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Aurora, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.