Organization Active NPI

Camillus Physical Therapy

Doing business as Cny Physical Therapy Aquatic Centers

  • Physical Therapy Clinic/Center
  • Camillus, NY
National Provider Identifier
1164542486
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
CAMILLUS PHYSICAL THERAPY
Doing business as
Cny Physical Therapy Aquatic Centers
Practice address
5700 W Genesee St
Suite 2S
Camillus, NY 13031-3200
Phone
(315) 452-5580
Fax
(315) 452-5303
NPI assigned
Mar 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Karen Demers
Title
Billing Manager
Phone
(315) 452-5580

Specialties & licenses 1

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

Addresses

Primary practice location

5700 W Genesee St
Suite 2S
Camillus, NY 13031-3200

Mailing address

5700 West Genesee Street
Suite 2S
Camillus, NY 13031
Phone (315) 452-5580

Other names 1

  • CNY PHYSICAL THERAPY AQUATIC CENTERS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164542486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 WEST GENESEE STREET",
            "address_2": "SUITE 2S",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "13031",
            "telephone_number": "315-452-5580",
            "fax_number": "315-452-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 W GENESEE ST",
            "address_2": "SUITE 2S",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130313200",
            "telephone_number": "315-452-5580",
            "fax_number": "315-452-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMILLUS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEMERS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "315-452-5580",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CNY PHYSICAL THERAPY AQUATIC CENTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camillus, 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.