Individual provider Active NPI

Daniel Strack, PT, DPT

  • Physical Therapist
  • Fairport, NY
National Provider Identifier
1154847283
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
41947 Issued in NY
Practice address
650 Whitney Rd W Ste J
Fairport, NY 14450-1075
Phone
(585) 300-4333
Fax
(585) 454-8237
NPI assigned
Aug 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 41947 NY Primary

Addresses

Primary practice location

650 Whitney Rd W Ste J
Fairport, NY 14450-1075

Mailing address

650 Whitney Rd W Ste J
Fairport, NY 14450-1075
Phone (585) 300-4333

Other practice location 1

92 West Ave
Brockport, NY 14420
Phone (585) 637-0790

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

LicenseStateTypeSpecialty
41947NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Burd Physical Therapy PLLC Physical Therapist CurrentSince Nov 1, 2020 Accepting new patients

Locations

650 Whitney Rd W
Ste J
Fairport, NY 14450
Phone (585) 300-4333

3070 Monroe Ave
Rochester, NY 14618
Phone (585) 300-4333

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1154847283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 WHITNEY RD W STE J",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501075",
            "telephone_number": "585-300-4333",
            "fax_number": "585-637-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 WHITNEY RD W STE J",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501075",
            "telephone_number": "585-300-4333",
            "fax_number": "585-454-8237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "92 West Ave",
            "address_purpose": "LOCATION",
            "city": "Brockport",
            "state": "NY",
            "postal_code": "14420",
            "country_code": "US",
            "telephone_number": "585-637-0790",
            "fax_number": "585-637-3572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRACK",
        "first_name": "DANIEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-21",
        "last_updated": "2022-07-21",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "41947",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 21, 2022; 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.