Organization Active NPI

Journey Physical Therapy PLLC

  • Physical Therapist
  • Lowville, NY
National Provider Identifier
1255770251
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62033815 Issued in NY
Legal business name
JOURNEY PHYSICAL THERAPY PLLC
Practice address
6006 Number Four Rd
Lowville, NY 13367-3309
Phone
(315) 377-4114
Fax
(315) 377-4115
NPI assigned
Jun 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Authorized official

Name
Dr. Amber Rose Zehr Astafan, PT, DPTNPI 1952699084
Title
Ceo, Owner
Phone
(315) 377-4114

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 62033815 NY Primary

Addresses

Primary practice location

6006 Number Four Rd
Lowville, NY 13367-3309

Mailing address

6006 Number Four Rd
Lowville, NY 13367-3309
Phone (315) 377-4114

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131016000171 NY Part B Supplier - Clinic/Group Practice 5193959617 Receives reassigned benefits from 4 practitioners
Practice locations: Lowville, NY

National Provider Directory

National Provider Directory

Locations

5402 Dayan St
Ste G1
Lowville, NY 13367

Practitioners & affiliated clinicians

Practitioners 4

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": "1371945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1255770251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6006 NUMBER FOUR RD",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133673309",
            "telephone_number": "315-377-4114",
            "fax_number": "315-377-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6006 NUMBER FOUR RD",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133673309",
            "telephone_number": "315-377-4114",
            "fax_number": "315-377-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-23",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "ASTAFAN",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "ROSE ZEHR",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "315-377-4114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "62033815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.