Spark Physical Therapy PLLC
NPI 1861104705 · Physical Therapist · Elmont, NY
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Spark Physical Therapy PLLC is a Physical Therapist organization in Elmont, NY (NPI 1861104705).
Provider details
- NPI number
- 1861104705
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Randolph Bendo, Owner(516) 812-6145
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-12-22
- Last updated
- 2022-12-22
- Certified
- 2022-12-22
Frequently asked questions
- What is Spark Physical Therapy PLLC's NPI number?
- Spark Physical Therapy PLLC's National Provider Identifier (NPI) is 1861104705, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spark Physical Therapy PLLC?
- Spark Physical Therapy PLLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Spark Physical Therapy PLLC located?
- Spark Physical Therapy PLLC's practice location on file with NPPES is 1763 Dutch Broadway, Elmont, NY 11003-5044.
- What is Spark Physical Therapy PLLC's phone number?
- The practice phone number listed in the NPPES registry for Spark Physical Therapy PLLC is (516) 812-6145.
- Does Spark Physical Therapy PLLC accept Medicare?
- Spark Physical Therapy PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Spark Physical Therapy PLLC?
- The authorized official listed on Spark Physical Therapy PLLC's NPPES record is Randolph Bendo, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spark Physical Therapy PLLC's NPI active?
- Yes — Spark Physical Therapy PLLC's NPI (1861104705) is active in the NPPES registry as of the last update on 2022-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.