Jerry A Bushey, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

015232-1 Issued in NY

Practice address

30 Center St
St Johnsville, NY 13452-1127

Phone

(518) 568-0032

Fax

(518) 568-0035

NPI assigned

Apr 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Performance Therapy and Fitness, LLC

  • Physical Therapy Clinic/Center
  • St Johnsville, NY
  • NPI 1538830054
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1053373563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CENTER ST",
            "city": "ST JOHNSVILLE",
            "state": "NY",
            "postal_code": "134521127",
            "telephone_number": "518-568-0032",
            "fax_number": "518-568-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CENTER ST",
            "city": "ST JOHNSVILLE",
            "state": "NY",
            "postal_code": "134521127",
            "telephone_number": "518-568-0032",
            "fax_number": "518-568-0035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Timmerman Ave",
            "address_purpose": "LOCATION",
            "city": "St Johnsville",
            "state": "NY",
            "postal_code": "134521017",
            "country_code": "US",
            "telephone_number": "518-568-5037 x207",
            "fax_number": "518-568-7505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSHEY",
        "first_name": "JERRY",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015232-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Baumeister, R.PH.
• Melissa Ann Berlin, M.S., CCC-SLP
• Shari J Braemer, RN
• Cheryl Lynn Brown, R.N.
• Dorothy C. Brown, OT
• Becky L Case, LMT
• Emily Chrisman
• Jennifer L Christman, RPH
• Melissa Cool
• Stacey A Cool

• Physical Therapist in St Johnsville, NY
• Providers in St Johnsville, 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 May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.