Individual provider Active NPI

Sabrina Disibio, MSPT

  • Physical Therapist
  • Newark, DE
National Provider Identifier
1285617266
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J10002026 Issued in DE
Practice address
4102 Ogletown Stanton Rd
Newark, DE 19713-4169
Phone
(302) 894-1800
Fax
(302) 894-1811
NPI assigned
Nov 23, 2005
Last updated
Mar 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT017730 PA
Physical Therapist 225100000X J10002026 DE Primary

Addresses

Primary practice location

4102 Ogletown Stanton Rd
Newark, DE 19713-4169

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other identifiers 4

IdentifierTypeStateIssuer
11523734OtherCAQH
280697000OtherIBC AMERIHEALTH
1285617266MedicaidDE
221629692OtherCHAMPUS

Other names 1

  • Sabrina Harding Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070306000741 DE Practitioner - Physical Therapist in Private Practice 0042313348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

1288 S Governors Ave
Ati Physical Therapy
Dover, DE 19904-4802
Phone (302) 677-0100

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J10002026DEMDPhysical Therapist
PT017730PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 1, 2006 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 1, 2006 Accepting new patients

Locations

100 Becks Woods Dr
Bear, DE 19701
Phone (302) 392-3400

1015 E Songsmith Dr
Bear, DE 19701
Phone (302) 836-5670

1288 S Governors Ave
Dover, DE 19904
Phone (302) 677-0100

2032 New Castle Ave
New Castle, DE 19720
Phone (302) 654-1700

4102 Stanton Ogletown Rd
Ste B
Newark, DE 19713
Phone (302) 894-1800

213 Greenhill Ave
Ste C
Wilmington, DE 19805
Phone (302) 658-7800

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

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, 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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1285617266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 OGLETOWN STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134169",
            "telephone_number": "302-894-1800",
            "fax_number": "302-894-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISIBIO",
        "first_name": "SABRINA",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT017730",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J10002026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11523734",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC AMERIHEALTH",
            "identifier": "280697000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285617266",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "221629692",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SABRINA",
            "last_name": "HARDING",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.