Active NPI
Richard Bryant Elliott, PT
- Physical Therapist
- Olean, NY
National Provider Identifier
1164532065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 021623
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00124039 | Other | NY | MEDICARE RAILROAD |
| 02444695 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 021623 | NY | MD | Physical 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.