Active NPI
Jingo Sambrano, P.T.
- Physical Therapist
- Easton, MD
National Provider Identifier
1154587871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21797
- Practice address
- 501 Dutchmans LN
Easton, MD 21601-3342 - Phone
- (410) 763-7564
- Fax
- (410) 770-8780
- NPI assigned
- Aug 1, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21797 | MD | Primary |
Addresses
Primary practice location
501 Dutchmans LN
Easton, MD 21601-3342
Mailing address
501 Dutchmans LN
Easton, MD 21601-3342
Phone (410) 763-7564
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21797 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217548800000",
"number": "1154587871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 DUTCHMANS LN",
"city": "EASTON",
"state": "MD",
"postal_code": "216013342",
"telephone_number": "410-763-7564",
"fax_number": "410-770-8780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 DUTCHMANS LN",
"city": "EASTON",
"state": "MD",
"postal_code": "216013342",
"telephone_number": "410-763-7564",
"fax_number": "410-770-8780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMBRANO",
"first_name": "JINGO",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-01",
"last_updated": "2008-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "21797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.