NPIMap

Organization Active NPI

Physio One Physical Therapy PLLC

  • Physical Therapist
  • Liverpool, NY
National Provider Identifier
1033912878
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSIO ONE PHYSICAL THERAPY PLLC
Practice address
8392 Oswego Rd
Liverpool, NY 13090-1002
Phone
(315) 877-9747
NPI assigned
Mar 28, 2025
Last updated
Mar 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Lauris Rigdon, PTNPI 1821194663
Title
Owner
Phone
(315) 877-9747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

8392 Oswego Rd
Liverpool, NY 13090-1002

Mailing address

4524 Providence Rd
Jamesville, NY 13078-6504
Phone (315) 877-9747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250808000408 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4183122278 Receives reassigned benefits from 8 practitioners
Practice locations: North Syracuse, NY; Wolcott, NY; Syracuse, NY; Liverpool, NY; Fayetteville, NY; Baldwinsville, NY

National Provider Directory

National Provider Directory

Locations

6800 E Genesee St
Ste 2
Fayetteville, NY 13066
Phone (315) 877-9747

8392 Oswego Rd
Liverpool, NY 13090
Phone (315) 877-9747

7575 Buckley Rd
Syracuse, NY 13212
Phone (315) 635-0000

11867 W Main St
Wolcott, NY 14590
Phone (315) 877-9747

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1033912878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4524 PROVIDENCE RD",
            "city": "JAMESVILLE",
            "state": "NY",
            "postal_code": "130786504",
            "telephone_number": "315-877-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8392 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901002",
            "telephone_number": "315-877-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIO ONE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "RIGDON",
        "authorized_official_first_name": "LAURIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-877-9747",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.