Organization Active NPI

Sanford Physical Therapy and Acup PLLC

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1841691953
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SANFORD PHYSICAL THERAPY AND ACUP PLLC
Practice address
13261 41St Rd Apt 201
Flushing, NY 11355-4284
Phone
(718) 535-8500
NPI assigned
Sep 8, 2014
Last updated
Sep 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Authorized official

Name
Ms. Nikki B Yu, ACUPUNCTURISTNPI 1881949774
Title
Director
Phone
(718) 353-8500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NY
Physical Therapist 225100000X NY Primary

Addresses

Primary practice location

13261 41St Rd Apt 201
Flushing, NY 11355-4284

Mailing address

PO Box 790616
Middle Village, NY 11379-0616

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151015001989 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1254640170 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

3808 Union St
Ste 5G
Flushing, NY 11354
Phone (718) 353-8500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1841691953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790616",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113790616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13261 41ST RD APT 201",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554284",
            "telephone_number": "718-535-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD PHYSICAL THERAPY AND ACUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-353-8500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ACUPUNCTURIST"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.