Active NPI
Chad Michael Pens, PT
- Physical Therapist
- Auburn, NY
National Provider Identifier
1164410221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 022423
- Practice address
- 37 W Garden St
Suite 103
Auburn, NY 13021-2662 - Phone
- (315) 253-3291
- Fax
- (315) 258-8759
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 022423 | NY | Primary |
Addresses
Primary practice location
37 W Garden St
Suite 103
Auburn, NY 13021-2662
Mailing address
37 W Garden St
Suite 103
Auburn, NY 13021-2662
Phone (315) 253-3291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02510016 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
37 Main St
Camden, NY 13316-1301
Phone (315) 245-5286
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Physical Therapy of New York, P.C. | Physical Therapist | Current | Accepting new patients |
Locations
37 W Garden St
Ste 103
Auburn, NY 13021
Phone (315) 253-3100
285 Delaware Ave
Ste 116
Buffalo, NY 14202
Phone (716) 381-8214
37 Main St
Camden, NY 13316
Phone (315) 245-5286
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.
-
- Physical Therapist
- Manlius, NY
- NPI 1912950072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1164410221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 W GARDEN ST",
"address_2": "SUITE 103",
"city": "AUBURN",
"state": "NY",
"postal_code": "130212662",
"telephone_number": "315-253-3291",
"fax_number": "315-258-8759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 W GARDEN ST",
"address_2": "SUITE 103",
"city": "AUBURN",
"state": "NY",
"postal_code": "130212662",
"telephone_number": "315-253-3291",
"fax_number": "315-258-8759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENS",
"first_name": "CHAD",
"middle_name": "MICHAEL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "022423",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02510016",
"state": "NY"
}
],
"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 Jul 13, 2026; 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.