Organization Active NPI

Salt City Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • De Witt, NY
National Provider Identifier
1225330392
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
021825 Issued in NY
Legal business name
SALT CITY PHYSICAL THERAPY, PLLC
Practice address
5795 Widewaters Parkway
Suite 1a
Dewitt, NY 13214-1846
Phone
(315) 200-1800
Fax
(315) 200-1802
NPI assigned
Nov 23, 2010
Last updated
Apr 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Authorized official

Name
Todd Joseph Cardi, PTNPI 1619937323
Title
Sole Member
Phone
(315) 200-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 021825 NY Primary

Addresses

Primary practice location

5795 Widewaters Parkway
Suite 1a
Dewitt, NY 13214-1846

Mailing address

1001 W Fayette St
Suite 400
Syracuse, NY 13204-2856
Phone (315) 472-1488

National Provider Directory

National Provider Directory

Locations

5795 Widewaters Pkwy
#1A
Syracuse, NY 13214
Phone (315) 200-1800

5795 Widewaters Pkwy
Ste 1A
Syracuse, NY 13214
Phone (315) 200-1800

Practitioners & affiliated clinicians

Practitioners 2

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": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1225330392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W FAYETTE ST",
            "address_2": "SUITE 400",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042856",
            "telephone_number": "315-472-1488",
            "fax_number": "315-476-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5795 WIDEWATERS PARKWAY",
            "address_2": "SUITE 1A",
            "city": "DEWITT",
            "state": "NY",
            "postal_code": "132141846",
            "telephone_number": "315-200-1800",
            "fax_number": "315-200-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT CITY PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "CARDI",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "315-200-1800",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "021825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in De Witt, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.