Organization Active NPI

Whitney Point Physical Therapy PC

  • Physical Therapist
  • Whitney Point, NY
National Provider Identifier
1154768216
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
018993 Issued in NY
Legal business name
WHITNEY POINT PHYSICAL THERAPY PC
Practice address
2961 US Highway 11
Whitney Point, NY 13862-7709
Phone
(607) 692-4420
Fax
(607) 692-4415
NPI assigned
May 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Michelle M Parker
Title
Practice Manager
Phone
(607) 222-2022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 018993 NY Primary

Addresses

Primary practice location

2961 US Highway 11
Whitney Point, NY 13862-7709

Mailing address

PO Box 253
Whitney Point, NY 13862-0253
Phone (607) 692-4420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130821000409 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4284877317 Receives reassigned benefits from 1 practitioner
Practice locations: Whitney Point, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1154768216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 253",
            "city": "WHITNEY POINT",
            "state": "NY",
            "postal_code": "138620253",
            "telephone_number": "607-692-4420",
            "fax_number": "607-692-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2961 US HIGHWAY 11",
            "city": "WHITNEY POINT",
            "state": "NY",
            "postal_code": "138627709",
            "telephone_number": "607-692-4420",
            "fax_number": "607-692-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITNEY POINT PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "607-222-2022"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitney Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.

Verify at the official NPI Registry.