Individual provider Active NPI

Sherry Ione Saccoliti, PT, DPT, MA

  • Orthopedic Physical Therapist
  • New York, NY
National Provider Identifier
1831739895
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
06515 Issued in NY
Practice address
510 E 73Rd St
New York, NY 10021-4010
Phone
(212) 606-1659
Fax
(212) 774-7859
NPI assigned
Jan 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 06515 NY Primary

Addresses

Primary practice location

510 E 73Rd St
New York, NY 10021-4010

Mailing address

163 Prospect St
Leonia, NJ 07605-1929
Phone (201) 906-1779

Other names 1

  • Sherry Ione Backus Professional name

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address backuss@hss.edu Direct
FHIR URL https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/ Direct
Direct Messaging Address sbackus4416@direct.HSS.edu Direct
FHIR URL https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
06515NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Downtown Physical and Occupational Therapy PLLC Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sbackus4416@direct.hss.edu

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1831739895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 PROSPECT ST",
            "city": "LEONIA",
            "state": "NJ",
            "postal_code": "076051929",
            "telephone_number": "201-906-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E 73RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214010",
            "telephone_number": "212-606-1659",
            "fax_number": "212-774-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACCOLITI",
        "first_name": "SHERRY",
        "middle_name": "IONE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "06515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "backuss@hss.edu",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "510 E 73rd St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "510 E 73rd St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbackus4416@direct.HSS.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "510 E 73rd St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "510 E 73rd St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "BACKUS",
            "middle_name": "IONE",
            "credential": "PT, DPT, MA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Apr 9, 2021; 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.