Isaiah Jensen Pominville, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

052561 Issued in NY

Practice address

37 W Garden St Ste 103
Auburn, NY 13021-2663

Phone

(315) 800-0030

NPI assigned

Sep 10, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

State University of Ny Upstate Medical University, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports Physical Therapy of New York, P.C.Group PAC ID 4284531674, 83 clinicians

Journey Physical Therapy PLLCGroup PAC ID 5193959617, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  Medicare reassignment Care Compare group NPD
• Journey Physical Therapy PLLC

  • Physical Therapist
  • Lowville, NY
  • NPI 1255770251
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1144056870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 GRANITE ST STE 3",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845350",
            "telephone_number": "781-961-3370",
            "fax_number": "781-961-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W GARDEN ST STE 103",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212663",
            "telephone_number": "315-800-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMINVILLE",
        "first_name": "ISAIAH",
        "middle_name": "JENSEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica B Planer, RD, CD/N
• Wendy Platt, R.N.
• Podiatry Services of Central New York, PC
• Jana Podzimek, D.O.
• Kathy J. Polkowski, P.T.
• Positively You, LLC
• Monica G Powers
• Neil J Powers, MSW
• Cindy H Prasad, DDS
• Wayne H Pratt, LPN

• Physical Therapist in Auburn, NY
• Providers in Auburn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.