NPIMap

Organization Active NPI

Leroy Physical Therapy and Athletic Training, PLLC

  • Physical Therapist
  • Leroy, NY
National Provider Identifier
1154475739
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LEROY PHYSICAL THERAPY AND ATHLETIC TRAINING, PLLC
Practice address
3 West Avenue
Leroy, NY 14482
Phone
(585) 768-4550
Fax
(585) 768-2335
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Authorized official

Name
Mr. Patrick Stephen Privatera, PT
Title
Director/Owner
Phone
(585) 768-4550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3 West Avenue
Leroy, NY 14482

Mailing address

3 West Avenue
Leroy, NY 14482
Phone (585) 768-4550

National Provider Directory

National Provider Directory

Locations

5 Alva Pl
Batavia, NY 14020
Phone (585) 343-9496

110 W Main St
Le Roy, NY 14482
Phone (716) 768-4550

3 West Ave
Le Roy, NY 14482
Phone (585) 224-5179

1218 Mayberry Pl
Macedon, NY 14502
Phone (315) 986-1528

2115 Chili Ave
Ste B
Rochester, NY 14624
Phone (585) 247-0270

803 Ridge Rd
Ste A
Webster, NY 14580
Phone (585) 347-0202

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1154475739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WEST AVENUE",
            "city": "LEROY",
            "state": "NY",
            "postal_code": "14482",
            "telephone_number": "585-768-4550",
            "fax_number": "585-768-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WEST AVENUE",
            "city": "LEROY",
            "state": "NY",
            "postal_code": "14482",
            "telephone_number": "585-768-4550",
            "fax_number": "585-768-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEROY PHYSICAL THERAPY AND ATHLETIC TRAINING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "PRIVATERA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "585-768-4550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leroy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.