Individual provider Active NPI

Cheryl A Pavlov-Shapiro, PT

  • Physical Therapist
  • Chittenango, NY
National Provider Identifier
1174976278
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
020185-1 Issued in NY
Practice address
1398 State Route 5
Chittenango, NY 13037-8763
Phone
(315) 510-3372
Fax
(315) 510-3688
NPI assigned
Jul 13, 2016
Last updated
Jul 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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 020185-1 NY Primary

Addresses

Primary practice location

1398 State Route 5
Chittenango, NY 13037-8763

Mailing address

8539 Lamp Post Cir
Manlius, NY 13104-9389
Phone (315) 289-5990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221019001534 NY Practitioner - Physical Therapist in Private Practice 6800262684 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Physical Therapy of New York, P.C.Group PAC ID 4284531674, 83 clinicians

Practice addresses (Care Compare)

240 W Seneca St
Suite 12
Manlius, NY 13104-2422
Phone (315) 682-0325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
020185-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chittenango Physical Therapy, P.C. Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients
Sports Physical Therapy of New York, P.C. Physical Therapist CurrentSince Jul 10, 2025 Accepting new patients
Encompass Health Rehabilitation Hospital of Florence, Inc. Past Accepting new patients

Locations

285 Delaware Ave
Ste 116
Buffalo, NY 14202
Phone (716) 381-8214

1398 State Route 5
Chittenango, NY 13037
Phone (315) 510-3372

240 W Seneca St
Ste 12
Manlius, NY 13104
Phone (315) 256-0490

1 West Ave
Ste 150
Saratoga Springs, NY 12866
Phone (518) 240-1152

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1174976278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8539 LAMP POST CIR",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131049389",
            "telephone_number": "315-289-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1398 STATE ROUTE 5",
            "city": "CHITTENANGO",
            "state": "NY",
            "postal_code": "130378763",
            "telephone_number": "315-510-3372",
            "fax_number": "315-510-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLOV-SHAPIRO",
        "first_name": "CHERYL",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020185-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chittenango, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.