Active NPI
Michael Joseph Sandritter, MSPT
- Physical Therapist
- Corning, NY
National Provider Identifier
1275779639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 018330-1
- Practice address
- 123 Conhocton St
Corning, NY 14830-2959 - Phone
- (570) 888-5858
- NPI assigned
- Jan 6, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 018330-1 | NY | Primary |
Addresses
Primary practice location
123 Conhocton St
Corning, NY 14830-2959
Mailing address
4400 Wyckoff Rd
Burdett, NY 14818-9793
Phone (607) 546-5244
Other practice location 1
106 S Perry St Ste 5
Watkins Glen, NY 14891-1615
Phone (607) 535-8140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00018330 | Medicaid | NY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Msandritter164322@direct-guthrie.org | Direct | |
| Direct Messaging Address | Msandritter164322@direct-guthrie.org | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018330-1 | NY | MD | Physical Therapist |
Interoperability endpoints
- msandritter164322@direct-guthrie.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1275779639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 WYCKOFF RD",
"city": "BURDETT",
"state": "NY",
"postal_code": "148189793",
"telephone_number": "607-546-5244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 CONHOCTON ST",
"city": "CORNING",
"state": "NY",
"postal_code": "148302959",
"telephone_number": "570-888-5858"
}
],
"practiceLocations": [
{
"address_1": "106 S Perry St Ste 5",
"address_purpose": "LOCATION",
"city": "Watkins Glen",
"state": "NY",
"postal_code": "148911615",
"country_code": "US",
"telephone_number": "607-535-8140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDRITTER",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-06",
"last_updated": "2021-03-10",
"certification_date": "2021-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "018330-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00018330",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Msandritter164322@direct-guthrie.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "123 Conhocton St",
"city": "Corning",
"state": "NY",
"country_code": "US",
"postal_code": "148302959",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Msandritter164322@direct-guthrie.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "123 Conhocton St",
"city": "Corning",
"state": "NY",
"country_code": "US",
"postal_code": "148302959",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Corning, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.