Jack Prayto
Individual provider Active NPI Physical Therapy Assistant · Greenville, NY
NPI 1265740484 · NPPES record last updated Sep 22, 2010
Key facts
- NPI
- 1265740484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 442 Rte 38
Greenville, NY 12083 - Phone
- (518) 966-5888
- NPI assigned
- Sep 22, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete OT,PT,SLP Services, PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes |
Addresses
Primary practice location
442 Rte 38
Greenville, NY 12083
Mailing address
442 Rte 38
Greenville, NY 12083
Phone (518) 966-5888
Other providers in Greenville, NY
- Todd Mehlman
- Michael John Mink
- Northeast Homecare Inc.
- Melissa Marie Olenyn
- PNH Dental Arts PC
- Kristen Lynn Prayto
- Rachel A Raley
- Courtney Ann Reinhard
- Rite Aid of New York Inc
- Deborah J. Sacco-Vonatzingen
All providers in Greenville, NY · Physical Therapy Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.