Active NPI
Edward McMillan Wright, PT
- Physical Therapist
- Waterloo, NY
National Provider Identifier
1316223092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 023779
- Practice address
- 1083 Waterloo Geneva Rd
Waterloo, NY 13165 - Phone
- (315) 253-3648
- NPI assigned
- Oct 26, 2011
- 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 | 023779 | NY | Primary |
Addresses
Primary practice location
1083 Waterloo Geneva Rd
Waterloo, NY 13165
Mailing address
1083 Waterloo Geneva Rd
Waterloo, NY 13165
Phone (315) 253-3648
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
| License | State | Type | Specialty |
|---|---|---|---|
| 023779 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seneca Cayuga Counties Chapter Nysarc, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Voluntary or Charitable Agency
- Waterloo, NY
- NPI 1497804215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1316223092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1083 WATERLOO GENEVA RD",
"city": "WATERLOO",
"state": "NY",
"postal_code": "13165",
"telephone_number": "315-253-3648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1083 WATERLOO GENEVA RD",
"city": "WATERLOO",
"state": "NY",
"postal_code": "13165",
"telephone_number": "315-253-3648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "EDWARD",
"middle_name": "MCMILLAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-26",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "023779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterloo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.