Individual provider Active NPI

Michael J Fiume, PT

  • Physical Therapist
  • Camillus, NY
National Provider Identifier
1225572605
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040969 Issued in NY
Practice address
5320 W Genesee St
Suite 2
Camillus, NY 13031-2268
Phone
(315) 469-5400
Fax
(315) 469-5724
NPI assigned
Dec 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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 040969 NY Primary

Addresses

Primary practice location

5320 W Genesee St
Suite 2
Camillus, NY 13031-2268

Mailing address

5320 W Genesee St
Suite 2
Camillus, NY 13031-2268
Phone (315) 469-5400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161228000061 NY Practitioner - Physical Therapist in Private Practice 9739460098 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crawford Physical Therapy PLLCGroup PAC ID 0244764710, 4 clinicians
Onondaga Physical Therapy, LLCGroup PAC ID 8325039365, 25 clinicians

Practice addresses (Care Compare)

Solvay, NY 13209
Phone (315) 751-3481

6800 E Genesee St
Fayetteville, NY 13066-1089
Phone (315) 635-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Onondaga Physical Therapy, LLC Physical Therapist CurrentSince May 1, 2019 Accepting new patients
Crawford Physical Therapy PLLC Physical Therapist CurrentSince Jan 21, 2025 Accepting new patients
Onondaga Physical Therapy, LLC Physical Therapist Current Accepting new patients
Onondaga Physical Therapy Physical Therapist CurrentSince May 1, 2019 Accepting new patients
Onondaga Physical Therapy, LLC Physical Therapist Past Accepting new patients
Encompass Health Rehabilitation Hospital of Florence, Inc. Past Accepting new patients

Locations

19 E Genesee St
Ste 103
Baldwinsville, NY 13027

6800 E Genesee St
Fayetteville, NY 13066
Phone (315) 446-4400

8390 Oswego Rd
Liverpool, NY 13090
Phone (315) 652-4323

4651 Nixon Park Dr
Syracuse, NY 13215
Phone (315) 492-0592

4107 W Genesee St
Ste 300
Syracuse, NY 13219
Phone (315) 877-9747

Organizations & group practices 6

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": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1225572605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 W GENESEE ST",
            "address_2": "SUITE 2",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312268",
            "telephone_number": "315-469-5400",
            "fax_number": "315-469-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 W GENESEE ST",
            "address_2": "SUITE 2",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312268",
            "telephone_number": "315-469-5400",
            "fax_number": "315-469-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIUME",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 5, 2016; 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.