Active NPI
Peter Cusimano, PT
- Physical Therapist
- Liverpool, NY
National Provider Identifier
1083792196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 023140
- Practice address
- 526 Old Liverpool Rd
Liverpool, NY 13088-6238 - Phone
- (315) 457-7005
- Fax
- (315) 457-7214
- NPI assigned
- Nov 2, 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 | 023140 | NY | Primary |
Addresses
Primary practice location
526 Old Liverpool Rd
Liverpool, NY 13088-6238
Mailing address
1001 W Fayette St
Suite 400
Syracuse, NY 13204-2859
Phone (315) 472-1488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
718 Old Liverpool Rd
Liverpool, NY 13088-6035
Phone (315) 457-7005
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023140 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liverpool Physical Therapy, PC | Physical Therapist | Current | Accepting new patients |
| Chautauqua PT OT & SLP Professionals PLLC | Past | Accepting new patients |
Locations
718 Old Liverpool Rd
Liverpool, NY 13088
Phone (315) 457-7005
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
Organizations & group practices 2
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.
-
- Physical Therapist
- Liverpool, NY
- NPI 1154331486
-
- Specialist
- Jamestown, NY
- NPI 1710910690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1083792196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W FAYETTE ST",
"address_2": "SUITE 400",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132042859",
"telephone_number": "315-472-1488",
"fax_number": "315-476-1792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "526 OLD LIVERPOOL RD",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130886238",
"telephone_number": "315-457-7005",
"fax_number": "315-457-7214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSIMANO",
"first_name": "PETER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "023140",
"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 May 13, 2008; 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.