Active NPI
Douglas Fye, P.T., D.P.T., O.C.S.
- Physical Therapist
- Auburn, NY
National Provider Identifier
1144648122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 015363-1
- Practice address
- 17 Lansing St
Auburn, NY 13021-1983 - Phone
- (315) 255-7440
- Fax
- (315) 255-7051
- NPI assigned
- Apr 7, 2014
- Last updated
- Apr 7, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 015363-1 | NY | Primary |
Addresses
Primary practice location
17 Lansing St
Auburn, NY 13021-1983
Mailing address
7388 Silverwood Dr
Manlius, NY 13104-1408
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015363-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396828800000",
"number": "1144648122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7388 SILVERWOOD DR",
"city": "MANLIUS",
"state": "NY",
"postal_code": "131041408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 LANSING ST",
"city": "AUBURN",
"state": "NY",
"postal_code": "130211983",
"telephone_number": "315-255-7440",
"fax_number": "315-255-7051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FYE",
"first_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "P.T., D.P.T., O.C.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-07",
"last_updated": "2014-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "015363-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.