Jack Joseph Sparacio, MSPT COMT CFMT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0149561 Issued in NY

Practice address

1165 Northern Blvd
Suite #403
Manhasset, NY 11030

Phone

(516) 676-2327

Fax

(516) 676-4960

NPI assigned

Jan 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sparacio Physical Therapy PCGroup PAC ID 1951582527, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

22.2 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

73.99

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sparacio Physical Therapy P.C.

  • Physical Therapy Clinic/Center
  • Glen Cove, NY
  • NPI 1235432063
  Medicare reassignment Care Compare group NPD Authorized official
• Physiologic Physical Therapy PC

  • Physical Therapist
  • Great Neck, NY
  • NPI 1356325799
  NPD (past)

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1780662163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 FOREST AVE",
            "address_2": "SUITE #2A",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "11542",
            "telephone_number": "516-676-2327",
            "fax_number": "516-676-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 NORTHERN BLVD",
            "address_2": "SUITE #403",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "11030",
            "telephone_number": "516-676-2327",
            "fax_number": "516-676-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARACIO",
        "first_name": "JACK",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MSPT COMT CFMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0149561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Sood, MD
• Sunil Sood, MD
• Stephanie Soohoo, M.D.
• Marcel Raymond Souffrant
• Michael Joseph Sousa II, PA-C
• Gabriel Eugene Spencer, PA-C
• Barbara M Spiegel, LMHC
• Regina Marie Spinazzola-Kinney, MD
• Michael A Spinelli, M.D.
• Andrew Spitz, CRNA

• Physical Therapist in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.