Individual provider Active NPI

Jason C. Greco, PT

  • Physical Therapist
  • Penn Yan, NY
National Provider Identifier
1275602567
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
026824-1 Issued in NY
Practice address
207 1/2 Lake St
Penn Yan, NY 14527-1802
Phone
(315) 536-4051
Fax
(315) 531-8577
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 026824-1 NY Primary

Addresses

Primary practice location

207 1/2 Lake St
Penn Yan, NY 14527-1802

Mailing address

PO Box 693
Mendon, NY 14506-0693
Phone (585) 582-1126

Other practice location 1

340 Wheatley Plz
Greenvale, NY 11548-1325
Phone (516) 621-2267

Other practice location 2

340 Wheatley Plz
Greenvale, NY 11548-1325
Phone (516) 621-2267

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060124000801 NY Practitioner - Physical Therapist in Private Practice 6406870849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shuman Physical Therapy Associates PCGroup PAC ID 6709869209, 142 clinicians

Practice addresses (Care Compare)

1655 Elmwood Ave
Suite 130
Rochester, NY 14620-3428
Phone (585) 442-9110

515 Sampson Dr
Suite 201
Macedon, NY 14502-8203
Phone (315) 538-0149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
026824-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shuman Physical Therapy Associates, P.C. Physical Therapist CurrentSince Jan 1, 2020 Accepting new patients
Lattimore of Geneseo Physical Therapy PC Physical Therapist Past Accepting new patients

Locations

490 Collins St
Avon, NY 14414
Phone (585) 226-2480

40 Village Plz
Dansville, NY 14437
Phone (585) 335-2456

59 Perinton Hills Mall
Fairport, NY 14450
Phone (585) 385-0444

207 Lake St
#1-2
Penn Yan, NY 14527
Phone (315) 536-3362

1655 Elmwood Ave
Ste 130
Rochester, NY 14620
Phone (585) 442-9110

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1275602567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 693",
            "city": "MENDON",
            "state": "NY",
            "postal_code": "145060693",
            "telephone_number": "585-582-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 1/2 LAKE ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271802",
            "telephone_number": "315-536-4051",
            "fax_number": "315-531-8577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Wheatley Plz",
            "address_purpose": "LOCATION",
            "city": "Greenvale",
            "state": "NY",
            "postal_code": "115481325",
            "country_code": "US",
            "telephone_number": "516-621-2267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Wheatley Plz",
            "address_purpose": "LOCATION",
            "city": "Greenvale",
            "state": "NY",
            "postal_code": "115481325",
            "country_code": "US",
            "telephone_number": "516-621-2267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRECO",
        "first_name": "JASON",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026824-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penn Yan, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.