Organization Active NPI

Plaza Sports Medicine & Rehabilitation PC

  • Physical Therapy Clinic/Center
  • Rochester, NY
National Provider Identifier
1164478285
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PLAZA SPORTS MEDICINE & REHABILITATION PC
Practice address
One Whipple Lane
Rochester, NY 14622
Phone
(585) 338-3070
Fax
(585) 336-5014
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Judith R Olson
Title
Director
Phone
(585) 338-3070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

One Whipple Lane
Rochester, NY 14622

Mailing address

One Whipple Lane
Rochester, NY 14622
Phone (585) 338-3070

National Provider Directory

National Provider Directory

Locations

1586 W Ridge Rd
Rochester, NY 14615
Phone (585) 581-0300

1 Whipple Ln
Rochester, NY 14622
Phone (585) 338-3070

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164478285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE WHIPPLE LANE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14622",
            "telephone_number": "585-338-3070",
            "fax_number": "585-336-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE WHIPPLE LANE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14622",
            "telephone_number": "585-338-3070",
            "fax_number": "585-336-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA SPORTS MEDICINE & REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "585-338-3070"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.