Organization Active NPI

Stronger Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Baldwinsville, NY
National Provider Identifier
1235704180
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
STRONGER PHYSICAL THERAPY PLLC
Practice address
80 Smokey Hollow Rd
Baldwinsville, NY 13027-8264
Phone
(814) 496-9405
NPI assigned
May 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Jessica Massimino Shelton, PT, MSPTNPI 1447507306
Title
Physical Therapist
Phone
(814) 496-9405

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 Primary

Addresses

Primary practice location

80 Smokey Hollow Rd
Baldwinsville, NY 13027-8264

Mailing address

6352 Killoe Rd
Baldwinsville, NY 13027-9075
Phone (814) 496-9405

National Provider Directory

National Provider Directory

Locations

80 Smokey Hollow Rd
Baldwinsville, NY 13027
Phone (814) 496-9405

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1235704180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6352 KILLOE RD",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130279075",
            "telephone_number": "814-496-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SMOKEY HOLLOW RD",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130278264",
            "telephone_number": "814-496-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRONGER PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MASSIMINO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "814-496-9405",
        "authorized_official_credential": "PT, MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwinsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.