Matthew Sainopulos, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TA8246 Issued in NC

Practice address

590 Central Dr
Southern Pines, NC 28387-2841

Phone

(910) 246-1023

NPI assigned

Mar 22, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1902482995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 GROVE ST APT 2F",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073025927",
            "telephone_number": "201-275-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 CENTRAL DR",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872841",
            "telephone_number": "910-246-1023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Northern Blvd",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110214819",
            "country_code": "US",
            "telephone_number": "917-968-8497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAINOPULOS",
        "first_name": "MATTHEW",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-22",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "009563",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "TA8246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE",
            "identifier": "TA8246",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Roseto
• Shenae Russell-Lipsey, BS, PT, DPT
• Allison Murphy Ryan, PT, DPT
• Safe Haven Next Chapter LLC
• Dawn Marie Sageman, OTA/L
• Carla Salazar
• Julianne Salvadore
• Sandhills Alternative Healthcare Inc.
• Sandhills Children'S Center
• Sandhills Childrens Center

• Physical Therapy Assistant in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.