Individual provider Active NPI

Gladys Edith Sanz, PT

  • Pediatric Physical Therapist
  • College Point, NY
National Provider Identifier
1285942060
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
015993 Issued in NY
Practice address
1414 119TH St
College Point, NY 11356-1621
Phone
(917) 734-7870
Fax
(917) 285-2061
NPI assigned
Sep 15, 2010
Last updated
Sep 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 015993 NY Primary

Addresses

Primary practice location

1414 119TH St
College Point, NY 11356-1621

Mailing address

1414 119TH St
College Point, NY 11356-1621
Phone (917) 734-7870

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

LicenseStateTypeSpecialty
015993NYMDPediatric Physical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1285942060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 119TH ST",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113561621",
            "telephone_number": "917-734-7870",
            "fax_number": "917-285-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 119TH ST",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113561621",
            "telephone_number": "917-734-7870",
            "fax_number": "917-285-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANZ",
        "first_name": "GLADYS",
        "middle_name": "EDITH",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "015993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.