Active NPI
Sally Anne Feliciano, P.T.
- Physical Therapist
- Lynbrook, NY
National Provider Identifier
1285960948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 022468-1
- Practice address
- 108 Atlantic Ave
Unit 43
Lynbrook, NY 11563-3450 - Phone
- (917) 378-8740
- NPI assigned
- Oct 29, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 022468-1 | NY | Primary |
Addresses
Primary practice location
108 Atlantic Ave
Unit 43
Lynbrook, NY 11563-3450
Mailing address
108 Atlantic Ave
Unit 43
Lynbrook, NY 11563-3450
Phone (917) 378-8740
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 |
|---|---|---|---|
| 022468-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256774400000",
"number": "1285960948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 ATLANTIC AVE",
"address_2": "UNIT 43",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115633450",
"telephone_number": "917-378-8740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 ATLANTIC AVE",
"address_2": "UNIT 43",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115633450",
"telephone_number": "917-378-8740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELICIANO",
"first_name": "SALLY ANNE",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-29",
"last_updated": "2009-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "022468-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynbrook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.