Individual provider Active NPI

Stephen Robert Weissflog, PT

  • Physical Therapist
  • Oneonta, NY
National Provider Identifier
1104865302
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
022849 Issued in NY
Practice address
25 Elm St
Oneonta, NY 13820-1815
Phone
(607) 432-7924
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 022849 NY Primary

Addresses

Primary practice location

25 Elm St
Oneonta, NY 13820-1815

Mailing address

25 Elm St
Oneonta, NY 13820-1815
Phone (607) 432-7924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050511000892 NY Practitioner - Physical Therapist in Private Practice 3779523493 Reassigns benefits to 1 organization

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
Therapy Services PT and OTGroup PAC ID 9234503152, 9 clinicians

Practice addresses (Care Compare)

163 Heritage Cir
Oneonta, NY 13820-2690
Phone (607) 643-8731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Services PT and OT Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients
Therapy Services PT and OT Physical Therapist Current Accepting new patients
Therapy Services PT and OT Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients
Seco Occupational Therapy PC Past Accepting new patients
Core Performance Physical Therapy PLLC Physical Therapist PastSince Apr 3, 2023 Accepting new patients
At Home Care Incorporated Past Accepting new patients
At Home Care Partners, Inc. PastSince Nov 10, 2019 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1104865302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ELM ST",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138201815",
            "telephone_number": "607-432-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ELM ST",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138201815",
            "telephone_number": "607-432-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSFLOG",
        "first_name": "STEPHEN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.