Active NPI
Integrated Physical Therapy of Rochester, LLC
- Orthopedic Physical Therapist
- Hilton, NY
National Provider Identifier
1124061908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- INTEGRATED PHYSICAL THERAPY OF ROCHESTER, LLC
- Practice address
- 16 Main St
Hilton, NY 14468-1211 - Phone
- (585) 392-2001
- NPI assigned
- Jun 13, 2006
- 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
- John Zastawrny
- Title
- Business Owner
- Phone
- (585) 392-2001
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
16 Main St
Hilton, NY 14468-1211
Mailing address
16 Main St
Hilton, NY 14468-1211
Phone (585) 392-2001
Other names 1
- Westside Physical Therapy LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040624000223 | NY | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 8628053485 |
Receives reassigned benefits from 4 practitioners Practice locations: Hilton, NY; Rochester, NY |
National Provider Directory
National Provider Directory- Tax ID family
- Integrated Physical Therapy of Rochester LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopedic Physical Therapist
- Rochester, NY
- NPI 1730509324
Practitioners & affiliated clinicians
Practitioners 4
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": "1150156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437350400000",
"number": "1124061908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 MAIN ST",
"city": "HILTON",
"state": "NY",
"postal_code": "144681211",
"telephone_number": "585-392-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 MAIN ST",
"city": "HILTON",
"state": "NY",
"postal_code": "144681211",
"telephone_number": "585-392-2001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED PHYSICAL THERAPY OF ROCHESTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-13",
"last_updated": "2015-07-20",
"status": "A",
"authorized_official_last_name": "ZASTAWRNY",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "BUSINESS OWNER",
"authorized_official_telephone_number": "585-392-2001"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Westside Physical Therapy LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Hilton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.