Active NPI
Ann Elizabeth Ernst, MS, PT
- Physical Therapist
- Fairport, NY
National Provider Identifier
1124163274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 022155-1
- Practice address
- 41 Oconnor Rd
Fairport, NY 14450-1327 - Phone
- (585) 377-4660
- NPI assigned
- Feb 20, 2007
- Last updated
- Jan 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 022155-1 | NY | Primary |
| Pediatric Physical Therapist | 2251P0200X | 022155 | NY | |
| Pediatric Physical Therapist | 2251P0200X | 022155-1 | NY |
Addresses
Primary practice location
41 Oconnor Rd
Fairport, NY 14450-1327
Mailing address
41 Oconnor Rd
Fairport, NY 14450-1327
Phone (585) 383-2216
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022155 | Other | MONROE PLAN | |
| P010022155 | Other | RIPA | |
| P010022155 | Other | BLUE CHOICE | |
| P020022155 | Other | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022155-1 | NY | MD | Physical Therapist |
| 022155 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1124163274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 OCONNOR RD",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144501327",
"telephone_number": "585-383-2216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 OCONNOR RD",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144501327",
"telephone_number": "585-377-4660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERNST",
"first_name": "ANN",
"middle_name": "ELIZABETH",
"credential": "MS, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2023-01-27",
"certification_date": "2023-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "022155-1",
"primary": true
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "022155",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "022155-1",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MONROE PLAN",
"identifier": "022155",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RIPA",
"identifier": "P010022155",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P010022155",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "P020022155",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.