NPIMap

Organization Active NPI

Syracuse Physical Therapy PC

  • Physical Therapist
  • Syracuse, NY
National Provider Identifier
1013113729
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SYRACUSE PHYSICAL THERAPY PC
Practice address
3300 Court St
Syracuse, NY 13206-1071
Phone
(315) 414-0504
Fax
(315) 414-0508
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Tracy E Raymo
Title
Office Manager
Phone
(315) 414-0504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X NY Primary

Addresses

Primary practice location

3300 Court St
Syracuse, NY 13206-1071

Mailing address

9599 Hitchcock Point Rd
Bridgeport, NY 13030-9641
Phone (315) 414-0504

National Provider Directory

National Provider Directory

Locations

2002 Teall Ave
Syracuse, NY 13206
Phone (315) 414-0224

3300 Court St
Syracuse, NY 13206
Phone (315) 414-0504

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013113729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9599 HITCHCOCK POINT RD",
            "city": "BRIDGEPORT",
            "state": "NY",
            "postal_code": "130309641",
            "telephone_number": "315-414-0504",
            "fax_number": "315-414-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 COURT ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132061071",
            "telephone_number": "315-414-0504",
            "fax_number": "315-414-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYRACUSE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAYMO",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "315-414-0504",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.