Individual provider Active NPI

Ma Sandra Paitan Aparicio, PHYSICAL THERAPIST

  • Physical Therapist
  • New York, NY
National Provider Identifier
1407285505
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
036158-1 Issued in NY
Practice address
236 5TH Ave FL 4
New York, NY 10001-7953
Phone
(212) 686-0587
NPI assigned
Nov 8, 2013
Last updated
Nov 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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 036158-1 NY Primary

Addresses

Primary practice location

236 5TH Ave FL 4
New York, NY 10001-7953

Mailing address

236 5TH Ave FL 4
New York, NY 10001-7953
Phone (212) 686-0587

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260519001844 TX Practitioner - Physical Therapist in Private Practice 2769794395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prospera Rehabilitation LLCGroup PAC ID 2860839099, 7 clinicians

Practice addresses (Care Compare)

16700 Ella Blvd
Houston, TX 77090-4214
Phone (832) 920-2025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036158-1NYMDPhysical Therapist

Organizations & group practices 1

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": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1407285505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 5TH AVE FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017953",
            "telephone_number": "212-686-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 5TH AVE FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017953",
            "telephone_number": "212-686-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APARICIO",
        "first_name": "MA SANDRA",
        "middle_name": "PAITAN",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036158-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.