Individual provider Active NPI

Richard Bryant Elliott, PT

  • Physical Therapist
  • Olean, NY
National Provider Identifier
1164532065
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
021623 Issued in NY
Practice address
2416 Constitution Avenue
Rehabilitation Today
Olean, NY 14760
Phone
(716) 372-2808
Fax
(716) 372-2902
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 021623 NY Primary

Addresses

Primary practice location

2416 Constitution Avenue
Rehabilitation Today
Olean, NY 14760

Mailing address

2416 Constitution Avenue
Rehabilitation Today
Olean, NY 14760
Phone (716) 372-2808

Other identifiers 2

IdentifierTypeStateIssuer
P00124039OtherNYMEDICARE RAILROAD
02444695MedicaidNY

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
021623NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164532065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 CONSTITUTION AVENUE",
            "address_2": "REHABILITATION TODAY",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "14760",
            "telephone_number": "716-372-2808",
            "fax_number": "716-372-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 CONSTITUTION AVENUE",
            "address_2": "REHABILITATION TODAY",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "14760",
            "telephone_number": "716-372-2808",
            "fax_number": "716-372-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "RICHARD",
        "middle_name": "BRYANT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00124039",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02444695",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.