Individual provider Active NPI

Janice Walter-Ferrick, P.T.

  • Physical Therapist
  • Syracuse, NY
National Provider Identifier
1194973081
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013713-1 Issued in NY
Practice address
305 Cooper LN
Syracuse, NY 13214-2309
Phone
(315) 867-4412
NPI assigned
Sep 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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 013713-1 NY Primary

Addresses

Primary practice location

305 Cooper LN
Syracuse, NY 13214-2309

Mailing address

305 Cooper LN
Syracuse, NY 13214-2309
Phone (315) 867-4412

Other practice location 1

7164 E Genesee St
Fayetteville, NY 13066-1202
Phone (315) 314-1639

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101209000527 NY Practitioner - Physical Therapist in Private Practice 3971790445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Home Stretch Physical Therapy PCGroup PAC ID 4981996923, 14 clinicians

Practice addresses (Care Compare)

Syracuse, NY 13215
Phone (315) 569-9308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013713-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Home Stretch Physical Therapy , P.C. Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients
Weston Paxxon PT, OT & SLP, PLLC Physical Therapist Past Accepting new patients
PRN Physical, Occupational and Speech Therapy Network, PLLC PastSince Dec 27, 2020 Accepting new patients
PRN Physical, Occupational and Speech Therapy Network, PLLC Physical Therapist PastSince Jul 5, 2013 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1194973081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 COOPER LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132142309",
            "telephone_number": "315-867-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 COOPER LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132142309",
            "telephone_number": "315-867-4412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7164 E Genesee St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NY",
            "postal_code": "130661202",
            "country_code": "US",
            "telephone_number": "315-314-1639",
            "fax_number": "315-484-9610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTER-FERRICK",
        "first_name": "JANICE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013713-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.