Active NPI
Sajo Mathew John, PT
- Physical Therapist
- Cambria Heights, NY
National Provider Identifier
1497049951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 026268-1
- Practice address
- 22004 Linden Blvd
Cambria Heights, NY 11411-1621 - Phone
- (718) 712-3358
- NPI assigned
- Jun 1, 2011
- Sex
- Male
- 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 | 026268-1 | NY | Primary |
Addresses
Primary practice location
22004 Linden Blvd
Cambria Heights, NY 11411-1621
Mailing address
8511 251St St
Bellerose, NY 11426-2127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026268-1 | NY | MD | Physical Therapist |
| 026268 | NY | MD | Massage 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.
-
dba New York Therapy And Wellness
- Physical Therapist
- Brooklyn, NY
- NPI 1356703631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306886400000",
"number": "1497049951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8511 251ST ST",
"city": "BELLEROSE",
"state": "NY",
"postal_code": "114262127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22004 LINDEN BLVD",
"city": "CAMBRIA HEIGHTS",
"state": "NY",
"postal_code": "114111621",
"telephone_number": "718-712-3358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHN",
"first_name": "SAJO",
"middle_name": "MATHEW",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-01",
"last_updated": "2011-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "026268-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambria Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.