Active NPI
Brooke Sparacio
- Physical Therapist
- Hampton Bays, NY
National Provider Identifier
1235067018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 056458
- Practice address
- 18 E Montauk Hwy
Hampton Bays, NY 11946-1817 - Phone
- (631) 418-8283
- NPI assigned
- May 12, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 056458 | NY | Primary |
Addresses
Primary practice location
18 E Montauk Hwy
Hampton Bays, NY 11946-1817
Mailing address
330 Old Field CT
Mattituck, NY 11952-3703
Other practice location 1
15 Frowein Rd
Center Moriches, NY 11934-1608
Phone (631) 617-6265
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sherrie Glasser, Physical Therapist. PC | Single Specialty | Past | Accepting new patients |
| Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC | Physical Therapist | Past | Accepting new patients |
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.
-
- Occupational Therapist
- Garden City, NY
- NPI 1356742365
Physical Therapist
-
- Physical Therapist
- Garden City, NY
- NPI 1912099540
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1235067018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 OLD FIELD CT",
"city": "MATTITUCK",
"state": "NY",
"postal_code": "119523703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 E MONTAUK HWY",
"city": "HAMPTON BAYS",
"state": "NY",
"postal_code": "119461817",
"telephone_number": "631-418-8283"
}
],
"practiceLocations": [
{
"address_1": "15 Frowein Rd",
"address_purpose": "LOCATION",
"city": "Center Moriches",
"state": "NY",
"postal_code": "119341608",
"country_code": "US",
"telephone_number": "631-617-6265",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPARACIO",
"first_name": "BROOKE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-12",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "056458",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hampton Bays, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.