Angela M Pike, M.S.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022254-1 Issued in NY

Practice address

51 Main St
Canton, NY 13617-1248

Phone

(315) 386-1108

Fax

(315) 386-2116

NPI assigned

Mar 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Angela M Wisner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053372276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 MAIN ST",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171248",
            "telephone_number": "315-386-1108",
            "fax_number": "315-386-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 MAIN ST",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171248",
            "telephone_number": "315-386-1108",
            "fax_number": "315-386-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKE",
        "first_name": "ANGELA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "M.S.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022254-1",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "16277",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "WISNER",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "M.S.P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angela L. Phillips
• Daneen Marie Phillips, LPN
• Patricia Pielnik, MD
• Jennifer Linda Pierce, R.N.
• Susan Pierce, PT
• Emily Pinckney, OTR/L
• Laura J Pirie, COTA
• Noelle Polniak, N.P.
• Michael W Polowchena, CASAC
• Danielle E Poste

• Physical Therapist in Canton, NY
• Providers in Canton, NY by specialty
• Physical Therapist in New York

• 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.

Verify at the official NPI Registry.