Individual provider Active NPI

Sheryll Dela Cruz, P.T.

  • Physical Therapist
  • Oswego, NY
National Provider Identifier
1598929085
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030191-1 Issued in NY
Practice address
110 W 6TH St
140
Oswego, NY 13126-2507
Phone
(315) 349-5558
Fax
(315) 349-5652
NPI assigned
Jul 14, 2008
Last updated
Jul 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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 030191-1 NY Primary

Addresses

Primary practice location

110 W 6TH St
140
Oswego, NY 13126-2507

Mailing address

110 W 6TH St
140
Oswego, NY 13126-2507
Phone (315) 349-5558

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101222000303 NY Practitioner - Physical Therapist in Private Practice 7214125905 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030191-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arc Rehab Services LLC Physical Therapist CurrentSince Oct 25, 2023 Accepting new patients
Adirondack Physical & Occupational Therapy, LLC Physical Therapist CurrentSince Feb 18, 2020 Accepting new patients
Oswego Hospital CurrentSince Oct 1, 2017 Accepting new patients
Adirondack Physical and Occupational Therapy LLC Physical Therapist CurrentSince Feb 18, 2020 Accepting new patients

Locations

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

110 W 6th St
#140
Oswego, NY 13126
Phone (315) 349-5558

127 E 1st St
Oswego, NY 13126
Phone (315) 207-2222

Organizations & group practices 4

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": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1598929085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W 6TH ST",
            "address_2": "140",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262507",
            "telephone_number": "315-349-5558",
            "fax_number": "315-349-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W 6TH ST",
            "address_2": "140",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262507",
            "telephone_number": "315-349-5558",
            "fax_number": "315-349-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA CRUZ",
        "first_name": "SHERYLL",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030191-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.