Individual provider Active NPI

Jacqueline Marie Sardaro, PT

  • Physical Therapist
  • Colmar, PA
National Provider Identifier
1205974151
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007103L Issued in PA
Practice address
2621 N Broad St
Colmar, PA 18915-9401
Phone
(215) 997-1160
Fax
(215) 997-3798
NPI assigned
Feb 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT007103L PA Primary

Addresses

Primary practice location

2621 N Broad St
Colmar, PA 18915-9401

Mailing address

PO Box 342
Montgomeryville, PA 18936-0342
Phone (215) 997-1160

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041028000179 PA Practitioner - Physical Therapist in Private Practice 1254393713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery County Rehabilitation and Sports Therapy PCGroup PAC ID 9032146956, 7 clinicians

Practice addresses (Care Compare)

9622 Bustleton Ave
Philadelphia, PA 19115-3100
Phone (215) 677-8258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Physical Therapy and Fitness, LLC Physical Therapist CurrentSince Nov 1, 2004 Accepting new patients
Montgomery County Rehabilitation & Sports Therapy, P.C. Physical Therapist CurrentSince Apr 9, 2018 Accepting new patients
Progress Physical Therapy LLC Physical Therapist PastSince Jan 5, 2026 Accepting new patients
Perry Family Chiropractic LLC PastSince May 7, 2024 Accepting new patients
Physical Therapy and Wellness Institute LLC Physical Therapist PastSince Jul 29, 2002 Accepting new patients

Locations

2304 N Broad St
Colmar, PA 18915
Phone (215) 997-1160

2621 N Broad St
Colmar, PA 18915
Phone (215) 997-1160

170 W Germantown Pike
Ste C3
Norristown, PA 19401
Phone (610) 279-6290

9622 Bustleton Ave
Ste 4
Philadelphia, PA 19115
Phone (215) 677-8258

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205974151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 342",
            "city": "MONTGOMERYVILLE",
            "state": "PA",
            "postal_code": "189360342",
            "telephone_number": "215-997-1160",
            "fax_number": "215-997-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 N BROAD ST",
            "city": "COLMAR",
            "state": "PA",
            "postal_code": "189159401",
            "telephone_number": "215-997-1160",
            "fax_number": "215-997-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARDARO",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT007103L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colmar, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.