Active NPI
Sparc Occupational and Physical Therapy Services
- Pediatric Physical Therapist
- Rochester, NY
National Provider Identifier
1679983613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 012187
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 012187 | NY | Primary |
| Pediatric Occupational Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003402 | Other | NY | STATE LICENSE NUMBER |
National Provider Directory
National Provider DirectoryLocations
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.