Active NPI
Wendy Kay Graus, PT
- Physical Therapist
- Rochester, NY
National Provider Identifier
1053565655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 011606-1
- Practice address
- 2100 Brighton Henrietta Town Line Rd
Rochester, NY 14623-2785 - Phone
- (585) 697-1557
- Fax
- (585) 697-5692
- NPI assigned
- Nov 10, 2008
- Sex
- Female
- 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 | 011606-1 | NY | Primary |
Addresses
Primary practice location
2100 Brighton Henrietta Town Line Rd
Rochester, NY 14623-2785
Mailing address
1 Adler Dr
East Syracuse, NY 13057-1223
Phone (315) 701-7900
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011606-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226275200000",
"number": "1053565655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ADLER DR",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130571223",
"telephone_number": "315-701-7900",
"fax_number": "315-701-7901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 BRIGHTON HENRIETTA TOWN LINE RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146232785",
"telephone_number": "585-697-1557",
"fax_number": "585-697-5692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAUS",
"first_name": "WENDY",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-10",
"last_updated": "2008-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "011606-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.