Active NPI
Sarah Rodriguez
- Physical Therapist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 033860
- Practice address
- 30 Broad St
Ground Level a
New York, NY 10004-2304 - Phone
- (646) 790-7454
- Fax
- (212) 379-2076
- NPI assigned
- Sep 8, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 033860 | NY | Primary |
Addresses
Primary practice location
30 Broad St
Ground Level a
New York, NY 10004-2304
Mailing address
307 5TH Ave FL 6
New York, NY 10016-6575
Phone (212) 759-2282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
146 5TH Ave
Brooklyn, NY 11217-3226
Phone (718) 866-0172
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033860 | NY | MD | Durable Medical Equipment & Medical Supplies |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physio Logic Medicine, P.C. | Current | Accepting new patients | |
| H&D Physical Therapy & Occupational Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| H&D Dynamic Physical & Occupational Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Physiologic Chiropractic & Physical Therapy, PLLC. | Physical Therapist | Current | Accepting new patients |
Locations
409 Fulton St
#2
Brooklyn, NY 11201
Phone (718) 260-1000
684 5th Ave
Brooklyn, NY 11215
Phone (718) 865-9474
146 5th Ave
Brooklyn, NY 11217
Phone (718) 866-0172
62 E 88th St
New York, NY 10128
Phone (212) 427-7000
815 2nd Ave
Rm 701
New York, NY 10017
Phone (646) 656-0156
Interoperability endpoints
- https://api.platform.athenahealth.com/16096/brand/2/csg/1/fhir/r4
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 and National Provider Directory roles.
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- Physical Therapist
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- Chiropractor
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- NPI 1225262785
Physical Therapist
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1013293588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560470400000",
"number": "1770864357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 5TH AVE FL 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166575",
"telephone_number": "212-759-2282",
"fax_number": "212-379-2123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 BROAD ST",
"address_2": "GROUND LEVEL A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100042304",
"telephone_number": "646-790-7454",
"fax_number": "212-379-2076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-08",
"last_updated": "2019-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "033860",
"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 14, 2019; 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.