Individual provider Active NPI

Sinjin Breed Wightman, DPT

  • Physical Therapist
  • Wappingers Falls, NY
National Provider Identifier
1295365179
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
044799 Issued in NY
Practice address
2 Delavergne Ave
Wappingers Falls, NY 12590-1202
Phone
(845) 297-4789
NPI assigned
Jan 20, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 044799 NY Primary

Addresses

Primary practice location

2 Delavergne Ave
Wappingers Falls, NY 12590-1202

Mailing address

53 New Paltz Rd Apt 1
Highland, NY 12528-1040
Phone (845) 594-4112

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200414002331 NY Practitioner - Physical Therapist in Private Practice 7618307794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
New York Medical College, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Campilii-Snyder Physical Therapy PCGroup PAC ID 3375433972, 18 clinicians

Practice addresses (Care Compare)

2 Delavergne Ave
Wappingers Falls, NY 12590-1202
Phone (845) 297-4789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044799NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Campilii-Snyder Physical Therapy PC Single Specialty CurrentSince Apr 13, 2020 Accepting new patients
Bienetre Medical PC Single Specialty CurrentSince Jul 15, 2025 Accepting new patients

Locations

264 Route 52
Carmel, NY 10512
Phone (845) 200-7646

4353 Albany Post Rd
Hyde Park, NY 12538
Phone (845) 233-4960

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

3399 North Rd
Poughkeepsie, NY 12601
Phone (845) 575-3000

2 Delavergne Ave
Wappingers Fl, NY 12590
Phone (845) 297-4789

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.

NPI Registry JSON

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1295365179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 NEW PALTZ RD APT 1",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125281040",
            "telephone_number": "845-594-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DELAVERGNE AVE",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125901202",
            "telephone_number": "845-297-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGHTMAN",
        "first_name": "SINJIN",
        "middle_name": "BREED",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.

Verify at the official NPI Registry.