Individual provider Active NPI

Sandra Zamparo Friedrich, MSPT

  • Orthopedic Physical Therapist
  • Garden City, NY
National Provider Identifier
1417589953
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
310 Old Country Rd Ste 104
Garden City, NY 11530-1763
Phone
(516) 741-7000
Fax
(516) 741-4002
NPI assigned
Feb 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

310 Old Country Rd Ste 104
Garden City, NY 11530-1763

Mailing address

1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Phone (631) 580-5200

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL sandra@fullcirclebreastcancerpt.com Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201117002625 NY Practitioner - Physical Therapist in Private Practice 5092126300 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009939NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Nov 16, 2020 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path CurrentSince Nov 16, 2020 Accepting new patients

Locations

584 N State Rd
Briarcliff Manor, NY 10510
Phone (914) 762-2222

310 Old Country Rd
Ste 104
Garden City, NY 11530
Phone (516) 741-7000

550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737

157 S Central Ave
Hartsdale, NY 10530
Phone (914) 428-9698

600 Bank Rd
Jefferson Vly, NY 10535
Phone (914) 245-8807

225 Merrick Rd
Lynbrook, NY 11563
Phone (516) 599-8734

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

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": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1417589953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PKWY STE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495258",
            "telephone_number": "631-580-5200",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 OLD COUNTRY RD STE 104",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301763",
            "telephone_number": "516-741-7000",
            "fax_number": "516-741-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMPARO FRIEDRICH",
        "first_name": "SANDRA",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sandra@fullcirclebreastcancerpt.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "office email",
            "address_1": "310 Old Country Rd Ste 104",
            "city": "Garden City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115301763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.