Active NPI
Michael J Compeau, MSPT
- Physical Therapist
- Syracuse, NY
National Provider Identifier
1033168109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 020345-1
- Practice address
- 800 Irving Ave
Syracuse, NY 13210-2716 - Phone
- (315) 425-4400
- Fax
- (315) 425-2685
- NPI assigned
- May 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 020345-1 | NY | Primary |
Addresses
Primary practice location
800 Irving Ave
Syracuse, NY 13210-2716
Mailing address
7392 Palmcrest Rd
North Syracuse, NY 13212-3363
Phone (315) 214-5576
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033168109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7392 PALMCREST RD",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132123363",
"telephone_number": "315-214-5576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 IRVING AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102716",
"telephone_number": "315-425-4400",
"fax_number": "315-425-2685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMPEAU",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "020345-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
- Community General Hospital of Greater Syracuse
- Community General Hospital of Greater Syracuse
- Community General Hospital of Greater Syracuse
- Community Orthopedics PC
- Elizabeth Ann Compeau
- Frank W Compolo, MD
- Comprehensive Gynecology, PC
- Comprehensive Imaging Service, PLLC
- Sandra Compton, RN
- J Kurt Concilla, DPM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.