Organization Active NPI

Sparc Occupational and Physical Therapy Services

  • Pediatric Physical Therapist
  • Rochester, NY
National Provider Identifier
1679983613
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
012187 Issued in NY
Legal business name
SPARC OCCUPATIONAL AND PHYSICAL THERAPY SERVICES
Practice address
595 Blossom Rd
Suite 308
Rochester, NY 14610-1825
Phone
(585) 355-4071
Fax
(585) 355-4071
NPI assigned
Apr 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Authorized official

Name
Ms. Margaret M Orlando, OTR
Title
Owner
Phone
(585) 748-5689

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X 012187 NY Primary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 003402 NY

Addresses

Primary practice location

595 Blossom Rd
Suite 308
Rochester, NY 14610-1825

Mailing address

595 Blossom Rd
Suite 308
Rochester, NY 14610-1825
Phone (585) 355-4071

Other identifiers 1

IdentifierTypeStateIssuer
003402OtherNYSTATE LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

595 Blossom Rd
Ste 308
Rochester, NY 14610
Phone (585) 355-4071

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1679983613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 BLOSSOM RD",
            "address_2": "SUITE 308",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146101825",
            "telephone_number": "585-355-4071",
            "fax_number": "585-355-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 BLOSSOM RD",
            "address_2": "SUITE 308",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146101825",
            "telephone_number": "585-355-4071",
            "fax_number": "585-355-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARC OCCUPATIONAL AND PHYSICAL THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "ORLANDO",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-748-5689",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "012187",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "003402",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "003402",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.