Individual provider Active NPI

George Sparrow, PT,DPT

  • Orthopedic Physical Therapist
  • Candia, NH
National Provider Identifier
1558640896
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
3619 Issued in NH
Practice address
143 Raymond Rd Unit 8
Candia, NH 03034-2133
Phone
(603) 483-3355
NPI assigned
Aug 4, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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 3619 NH Primary

Addresses

Primary practice location

143 Raymond Rd Unit 8
Candia, NH 03034-2133

Mailing address

73 Manchester St Apt 1
Manchester, NH 03101-2246
Phone (603) 483-3355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130812000117 RI Practitioner - Physical Therapist in Private Practice 2264693514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rhode Island Physical Therapy and Sports Medicine IncGroup PAC ID 4486896321, 3 clinicians

Practice addresses (Care Compare)

621 Pound Hill Rd
Suite 101
North Smithfield, RI 02896-9358
Phone (401) 356-1447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
3619NHMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Physical Therapy and Sports Medicine Inc Orthopedic CurrentSince May 9, 2018 Accepting new patients
Ace Physical Therapy LLC Orthopedic PastSince Apr 7, 2008 Accepting new patients
Coppola Physical Therapy Ferry Past Accepting new patients
Coppola Physical Therapy and Fitness Gym LLC Orthopedic PastSince Jun 1, 2009 Accepting new patients
Optima Dermatology LLC Past Accepting new patients
Foundry Orthopedics Inc PastSince May 9, 2018 Accepting new patients

Locations

621 Pound Hill Rd
Ste 101
North Smithfield, RI 02896
Phone (401) 356-1447

621 Pound Hill Rd
North Smithfield, RI 02896
Phone (401) 527-4368

Organizations & group practices 6

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": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1558640896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 MANCHESTER ST APT 1",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031012246",
            "telephone_number": "603-483-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 RAYMOND RD UNIT 8",
            "city": "CANDIA",
            "state": "NH",
            "postal_code": "030342133",
            "telephone_number": "603-483-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARROW",
        "first_name": "GEORGE",
        "credential": "PT,DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NH",
            "license": "3619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Candia, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.