Active NPI
Brian Page, DPT
- Physical Therapist
- Bath, NY
National Provider Identifier
1265546147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0247801
- Practice address
- 355 W Morris St
Ste 102
Bath, NY 14810-1059 - Phone
- (607) 622-5383
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0247801 | NY | Primary |
Addresses
Primary practice location
355 W Morris St
Ste 102
Bath, NY 14810-1059
Mailing address
355 W Morris St
Ste 102
Bath, NY 14810-1059
Phone (607) 621-6157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071203000491 | NY | Practitioner - Physical Therapist in Private Practice | 8921197682 | Practice locations: Bath, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
355 W Morris St
Suite 102
Bath, NY 14810-1029
Phone (607) 622-5383
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024780 | NY | MD | Psychologist |
| 0247801 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Page Orthopedic & Sports Physical Therapy | Past | Accepting new patients | |
| Page Orthopedic & Sports Physical Therapy | Past | 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 and National Provider Directory roles.
-
- Specialist
- Bath, NY
- NPI 1689855827
-
- Physical Therapy Clinic/Center
- Bath, NY
- NPI 1891980272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544572800000",
"number": "1265546147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 W MORRIS ST",
"address_2": "STE 102",
"city": "BATH",
"state": "NY",
"postal_code": "148101059",
"telephone_number": "607-621-6157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 W MORRIS ST",
"address_2": "STE 102",
"city": "BATH",
"state": "NY",
"postal_code": "148101059",
"telephone_number": "607-622-5383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGE",
"first_name": "BRIAN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2018-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0247801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bath, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.