Individual provider Active NPI

Sandra Gail F Frayna, P.T.

  • Physical Therapist
  • Jersey City, NJ
National Provider Identifier
1194998989
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01224200 Issued in NJ
Practice address
550 Newark Ave
Suite 304
Jersey City, NJ 07306-1326
Phone
(201) 624-2111
NPI assigned
Apr 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01224200 NJ Primary

Addresses

Primary practice location

550 Newark Ave
Suite 304
Jersey City, NJ 07306-1326

Mailing address

39 Alan Ter
Jersey City, NJ 07306-1403
Phone (201) 624-2111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080509000181 NJ Practitioner - Physical Therapist in Private Practice 5395824718 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Premiere Rehabilitation and Sports TherapyGroup PAC ID 1850547001, 3 clinicians
Hudson Physio and Sports PCGroup PAC ID 2668810557, 3 clinicians

Practice addresses (Care Compare)

4800 Broadway
Suite 212
Union City, NJ 07087-6544
Phone (201) 766-1728

74 Hudson St
Suite 1
Hoboken, NJ 07030-6193
Phone (877) 576-4681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Physio & Sports PC Physical Therapist CurrentSince Feb 6, 2024 Accepting new patients
Hudson Premiere Rehabilitation & Sports Therapy Physical Therapist CurrentSince Apr 1, 2012 Accepting new patients

Locations

74 Hudson St
Ste 1
Hoboken, NJ 07030
Phone (877) 576-4681

4800 Broadway
Ste 212
Union City, NJ 07087
Phone (201) 766-1728

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1194998989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 ALAN TER",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061403",
            "telephone_number": "201-624-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 NEWARK AVE",
            "address_2": "SUITE 304",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061326",
            "telephone_number": "201-624-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAYNA",
        "first_name": "SANDRA GAIL",
        "middle_name": "F",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01224200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.