Active NPI
Sarajane D Godfrey, PT
- Physical Therapist
- Warsaw, NY
National Provider Identifier
1376690800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 021559-1
- Practice address
- Wyoming County Community Hospital
400 North Main St
Warsaw, NY 14569 - Phone
- (585) 786-8940
- Fax
- (585) 786-1275
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- 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 | 021559-1 | NY | Primary |
Addresses
Primary practice location
Wyoming County Community Hospital
400 North Main St
Warsaw, NY 14569
Mailing address
Wyoming County Community Hospital
400 North Main St
Warsaw, NY 14569
Phone (585) 786-8940
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 |
|---|---|---|---|
| 021559-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376690800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WYOMING COUNTY COMMUNITY HOSPITAL",
"address_2": "400 NORTH MAIN ST",
"city": "WARSAW",
"state": "NY",
"postal_code": "14569",
"telephone_number": "585-786-8940",
"fax_number": "585-786-1275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WYOMING COUNTY COMMUNITY HOSPITAL",
"address_2": "400 NORTH MAIN ST",
"city": "WARSAW",
"state": "NY",
"postal_code": "14569",
"telephone_number": "585-786-8940",
"fax_number": "585-786-1275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODFREY",
"first_name": "SARAJANE",
"middle_name": "D",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "021559-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warsaw, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.