Victor Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

019558 Issued in NY

Legal business name

VICTOR PHYSICAL THERAPY, LLC

Practice address

274 W Main St
Victor, NY 14564-1157

Phone

(585) 924-3250

Fax

(585) 924-5127

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Michael Jeffrey Carpin, M.P.T.

Title

Physical Therapist

Phone

(585) 924-3250

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164579603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 W MAIN ST",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641157",
            "telephone_number": "585-924-3250",
            "fax_number": "585-924-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 W MAIN ST",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641157",
            "telephone_number": "585-924-3250",
            "fax_number": "585-924-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARPIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "585-924-3250",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "107162FT",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7574307",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BCBS",
            "identifier": "G0186893370",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Family Dentistry
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• Victor Family Eyecare Inc
• Victor Farmington Volunteer Ambulance Corps Inc
• Victor Internal Medicine & Pediatrics,P.C.
• Victor Senior Living, LLC
• Victor Smiles Dental, PLLC
• Victor Surgical Care PLLC
• Kimberly A Viel, BSN RN NC-BC
• Vito C. Quatela, MD, Victor Medical, PLLC

• Physical Therapist in Victor, NY
• Providers in Victor, NY by specialty
• Physical Therapist in New York

• 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.