Jacqueline Marie Sardaro, PT
Individual provider Active NPI Physical Therapist · Colmar, PA
NPI 1205974151 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1205974151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT007103L (PA)
- Practice address
- 2621 N Broad St
Colmar, PA 18915-9401 - Phone
- (215) 997-1160
- Fax
- (215) 997-3798
- NPI assigned
- Feb 2, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- 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 PC
Practice addresses (Care Compare)
9622 Bustleton Ave
Philadelphia, PA 19115-3100
Phone (215) 677-8258
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041028000179 | PA | Practitioner - Physical Therapist in Private Practice | 1254393713 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montgomery County Rehabilitation & Sports Therapy, P.C. | Physical Therapist | Current |
Accepting new patients |
| Comprehensive Physical Therapy and Fitness, LLC | Physical Therapist | Current |
Accepting new patients |
| Progress Physical Therapy LLC | Physical Therapist | Past |
Accepting new patients |
| Perry Family Chiropractic LLC | Past |
Accepting new patients | |
| Physical Therapy and Wellness Institute LLC | Physical Therapist | Past |
Accepting new patients |
Locations
2304 N Broad St
Colmar, PA 18915
Phone (215) 822-5400
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT007103L | PA | Yes |
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
Other providers in Colmar, PA
- Josephine A Pobre-So
- Pragma Corporation
- Preferred Medical Transport Inc
- Rita Roseline Ravichandar
- Patricia A Roth
- Frank Sergi
- Phyliss Shanken
- Williard J Shanken
- Shared Support, Inc.
- Sukhdev Singh
All providers in Colmar, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.