Organization Active NPI

Start Physical Therapy and Physical Therapy Assistant, PLLC

  • Physical Therapist
  • Camillus, NY
National Provider Identifier
1083956064
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0268161 Issued in NY
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

Updated by the provider on Mar 18, 2013

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.