Individual provider Active NPI

Maribeth Sarno, PT

  • Physical Therapist
  • Monroe, NY
National Provider Identifier
1619044070
Registry record updated Dec 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0033891 Issued in NY
Practice address
505 RT 208
Suite 30
Monroe, NY 10950
Phone
(848) 782-3200
Fax
(845) 782-3100
NPI assigned
Nov 29, 2006
Last updated
Dec 24, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 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 0033891 NY Primary

Addresses

Primary practice location

505 RT 208
Suite 30
Monroe, NY 10950

Mailing address

505 State Route 208
Suite 30
Monroe, NY 10950-1608
Phone (845) 782-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0033891NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Physical Therapy Wellness, PLLC Physical Therapist Past Accepting new patients

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230076800000",
    "number": "1619044070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 STATE ROUTE 208",
            "address_2": "SUITE 30",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109501608",
            "telephone_number": "845-782-3200",
            "fax_number": "845-782-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 RT 208",
            "address_2": "SUITE 30",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "10950",
            "telephone_number": "848-782-3200",
            "fax_number": "845-782-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARNO",
        "first_name": "MARIBETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0033891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.