Healthcare Provider Details

I. General information

NPI: 1497207922
Provider Name (Legal Business Name): SABRINA CERCIELLO FERRETTI PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2016
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 EATON LN
MOUNTAIN VIEW CA
94043-5260
US

IV. Provider business mailing address

309 EATON LN
MOUNTAIN VIEW CA
94043-5260
US

V. Phone/Fax

Practice location:
  • Phone: 347-278-6773
  • Fax:
Mailing address:
  • Phone: 347-278-6773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number62 039290
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: