Individual provider Active NPI

Sayamira Eulalia Cordero-Fontaine, P.T. , DPT

  • Physical Therapist
  • Christiansted, VI
National Provider Identifier
1255528469
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
128 Issued in VI
Practice address
201 202 Est. Ruby
Christiansted, VI 00820
Phone
(340) 778-6530
NPI assigned
Oct 2, 2007
Last updated
Oct 2, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 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 128 VI Primary

Addresses

Primary practice location

201 202 Est. Ruby
Christiansted, VI 00820

Mailing address

PO Box 5706
Christiansted, VI 00823-5706
Phone (340) 713-7846

Other names 1

  • Ms. Sayamira Eulalia Cordero Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170602001035 VI Practitioner - Physical Therapist in Private Practice 3072880665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virgin Island Orthopedics and Sports Medicine P CGroup PAC ID 6608921259, 10 clinicians

Practice addresses (Care Compare)

4423 Estate Marys Fancy
Christiansted, VI 00820-5244
Phone (340) 692-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Virgin Island Orthopedics and Sports Medicine P C Physical Therapist CurrentSince Mar 21, 2017 Accepting new patients

Locations

4423 Estate Marys Fancy
Christiansted, VI 00820
Phone (340) 692-5000

9149 Estate Thomas
St Thomas, VI 00802
Phone (340) 714-2845

Organizations & group practices 1

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": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1255528469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5706",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008235706",
            "telephone_number": "340-713-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 202 EST. RUBY",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "00820",
            "telephone_number": "340-778-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO-FONTAINE",
        "first_name": "SAYAMIRA",
        "middle_name": "EULALIA",
        "name_prefix": "Mrs.",
        "credential": "P.T. , DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VI",
            "license": "128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAYAMIRA",
            "last_name": "CORDERO",
            "middle_name": "EULALIA",
            "prefix": "MS.",
            "credential": "P.T. , DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Christiansted, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.