Active NPI
Jason C. Greco, PT
- Physical Therapist
- Penn Yan, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 026824-1
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 026824-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shuman Physical Therapy Associates, P.C. | Physical Therapist | Current | 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.
-
- Physical Therapist
- Rochester, NY
- NPI 1003928755
-
- Physical Therapist
- Geneseo, NY
- NPI 1619079860
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.