Active NPI
Start Physical Therapy and Physical Therapy Assistant, PLLC
- Physical Therapist
- Camillus, NY
National Provider Identifier
1083956064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0268161
- Legal business name
- START PHYSICAL THERAPY AND PHYSICAL THERAPY ASSISTANT, PLLC
- Doing business as
- START PHYSICAL THERAPY
- Practice address
- 5415 W Genesee St
Suite 101
Camillus, NY 13031-2162 - Phone
- (315) 487-8278
- Fax
- (315) 487-8273
- NPI assigned
- Mar 18, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gabriel Briggs, DPT
- Title
- Owner/Physical Therapist
- Phone
- (315) 487-8278
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0268161 | NY | Primary |
Addresses
Primary practice location
5415 W Genesee St
Suite 101
Camillus, NY 13031-2162
Mailing address
5415 W Genesee St
Suite 101
Camillus, NY 13031-2162
Phone (315) 487-8278
Other names 1
- START PHYSICAL THERAPY
National Provider Directory
National Provider DirectoryLocations
5415 W Genesee St
Ste 101
Camillus, NY 13031
Phone (315) 487-8278
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapy Assistant
- Camillus, NY
- NPI 1568704518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363564800000",
"number": "1083956064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5415 W GENESEE ST",
"address_2": "SUITE 101",
"city": "CAMILLUS",
"state": "NY",
"postal_code": "130312162",
"telephone_number": "315-487-8278",
"fax_number": "315-487-8273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5415 W GENESEE ST",
"address_2": "SUITE 101",
"city": "CAMILLUS",
"state": "NY",
"postal_code": "130312162",
"telephone_number": "315-487-8278",
"fax_number": "315-487-8273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "START PHYSICAL THERAPY AND PHYSICAL THERAPY ASSISTANT, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-18",
"last_updated": "2013-03-18",
"status": "A",
"authorized_official_last_name": "BRIGGS",
"authorized_official_first_name": "GABRIEL",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "315-487-8278",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "0268161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "START PHYSICAL THERAPY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Camillus, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.