Individual provider Active NPI

Adam P Rufa, PT

  • Physical Therapist
  • North Syracuse, NY
National Provider Identifier
1265431894
Registry record updated Apr 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
024346-2 Issued in NY
Practice address
5496 E Taft Rd
Suite 2
North Syracuse, NY 13212-3784
Phone
(315) 451-6541
Fax
(315) 451-7059
NPI assigned
Jul 15, 2005
Last updated
Apr 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2010

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 024346-2 NY Primary

Addresses

Primary practice location

5496 E Taft Rd
Suite 2
North Syracuse, NY 13212-3784

Mailing address

5496 E Taft Rd
Suite 2
North Syracuse, NY 13212-3784
Phone (315) 451-6541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
024346NYMDClinical Psychologist
024346-2NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vanbeveren and Yankowitz Physical Therapists, PC Physical Therapist Past Accepting new patients
Mauro-Bertolo Therapy SVCS PTPC Physical Therapist PastSince Jan 1, 1996 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270252800000",
    "number": "1265431894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5496 E TAFT RD",
            "address_2": "SUITE 2",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132123784",
            "telephone_number": "315-451-6541",
            "fax_number": "315-451-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5496 E TAFT RD",
            "address_2": "SUITE 2",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132123784",
            "telephone_number": "315-451-6541",
            "fax_number": "315-451-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFA",
        "first_name": "ADAM",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2010-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024346-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2010; 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.