Active NPI
Sinead Fitzgibbon, PT, PHD
- Orthopedic Physical Therapist
- Sag Harbor, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 171741
- Practice address
- 34 Bay St
Sag Harbor, NY 11963-3104 - Phone
- (631) 725-4450
- Fax
- (631) 725-6206
- NPI assigned
- Jan 26, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 171741 | UT | Primary |
Addresses
Primary practice location
34 Bay St
Sag Harbor, NY 11963-3104
Mailing address
PO Box 2333
Sag Harbor, NY 11963
Phone (631) 484-5416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
34 Bay St
Suite 205206
Sag Harbor, NY 11963-3104
Phone (631) 919-5189
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171741 | UT | MD | Orthopedic Physical Therapist |
| 017174 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Latitude Physical Therapy | Orthopedic | Current | Accepting new patients |
| Manual & Sports Physical Therapy, PC | Past | Accepting new patients |
Locations
50 E 42nd St
Rm 702
New York, NY 10017
Phone (212) 470-2735
34 Bay St
Ste 205
Sag Harbor, NY 11963
Phone (631) 919-5189
34 Bay St
Sag Harbor, NY 11963
Phone (212) 517-6555
34 Bay St
#205206
Sag Harbor, NY 11963
Phone (631) 919-5189
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.
-
- Physical Therapist
- Southampton, NY
- NPI 1114907078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583625600000",
"number": "1275503567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2333",
"city": "SAG HARBOR",
"state": "NY",
"postal_code": "11963",
"telephone_number": "631-484-5416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 BAY ST",
"city": "SAG HARBOR",
"state": "NY",
"postal_code": "119633104",
"telephone_number": "631-725-4450",
"fax_number": "631-725-6206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGIBBON",
"first_name": "SINEAD",
"credential": "PT, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2020-03-08",
"certification_date": "2020-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "UT",
"license": "171741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sag Harbor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2020; 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.