Individual provider Active NPI

Adriana Arboleda Sandoval

  • Physical Therapist
  • New York, NY
National Provider Identifier
1699391722
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
045846 Issued in NY
Practice address
5030 Broadway # 60
New York, NY 10034-1609
Phone
(347) 884-3544
NPI assigned
Jun 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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 045846 NY Primary

Addresses

Primary practice location

5030 Broadway # 60
New York, NY 10034-1609

Mailing address

17712 129TH Ave
Jamaica, NY 11434-5822
Phone (646) 836-3718

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221202000906 NY Practitioner - Physical Therapist in Private Practice 9335518927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

4701 Queens Blvd
Sunnyside, NY 11104-1660
Phone (718) 729-5924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045846NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Nov 11, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Nov 11, 2024 Accepting new patients
Esd PT OT & SLP PLLC Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Excellent Choice Physical Therapy, P.C. Physical Therapist PastSince Jan 1, 2003 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803

4701 Queens Blvd
Sunnyside, NY 11104
Phone (718) 482-8900

4701 Queens Blvd
Ste 402
Sunnyside, NY 11104
Phone (718) 729-5947

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

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": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1699391722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17712 129TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114345822",
            "telephone_number": "646-836-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 BROADWAY # 60",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100341609",
            "telephone_number": "347-884-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARBOLEDA SANDOVAL",
        "first_name": "ADRIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.