Individual provider Active NPI

Sailata Srinivas, PT

  • Physical Therapist
  • Far Rockaway, NY
National Provider Identifier
1407221054
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037922 Issued in NY
Practice address
265 Beach 20TH St
Far Rockaway, NY 11691-3625
Phone
(718) 337-7878
Fax
(718) 337-7877
NPI assigned
Dec 8, 2015
Last updated
Dec 8, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 037922 NY Primary

Addresses

Primary practice location

265 Beach 20TH St
Far Rockaway, NY 11691-3625

Mailing address

265 Beach 20TH St
Far Rockaway, NY 11691-3625
Phone (718) 337-7878

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160316000241 NY Practitioner - Physical Therapist in Private Practice 2062718125 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Pittsburgh School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9525 Queens Blvd
Suite 3D
Rego Park, NY 11374-4510
Phone (718) 925-6212

Merit-based Incentive Payment System (MIPS)

Final score
99.25 of 100Reported as individual
Quality
96.17
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
037922NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Excellent Choice Physical Therapy, P.C. Physical Therapist CurrentSince Mar 22, 2021 Accepting new patients
Alexander Dolsky PTPC Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Theradynamics Physical Therapy Rehabilitation PC Physical Therapist CurrentSince Feb 12, 2018 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic CurrentSince Nov 1, 2022 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
Theradynamics Rehab. PT, OT & SLP, PLLC Physical Therapist CurrentSince Mar 1, 2020 Accepting new patients
Montefiore Medical Center PastSince Mar 22, 2021 Accepting new patients

Locations

280 W 231st St
Bronx, NY 10463
Phone (718) 548-1212

3871 Sedgwick Ave
Bronx, NY 10463
Phone (718) 432-1440

11045 Queens Blvd
Ste 105
Forest Hills, NY 11375
Phone (718) 575-5100

18716 Hillside Ave
Jamaica, NY 11432
Phone (718) 206-1288

9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212

4701 Queens Blvd
Ste 402
Sunnyside, NY 11104
Phone (718) 729-5947

Organizations & group practices 7

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": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1407221054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BEACH 20TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913625",
            "telephone_number": "718-337-7878",
            "fax_number": "718-337-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 BEACH 20TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913625",
            "telephone_number": "718-337-7878",
            "fax_number": "718-337-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRINIVAS",
        "first_name": "SAILATA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.