Nancy Redick, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

025864-1 Issued in NY

Practice address

1272 Ridge Rd
Ontario, NY 14519-9101

Phone

(315) 524-9735

Fax

(315) 524-4423

NPI assigned

Mar 22, 2006

Last updated

Apr 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Genesee Valley Physical Therapy and Sports Rehab PCGroup PAC ID 8325029606, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genesee Valley Physical Therapy & Sports Rehab., P.C.

  • Physical Therapist
  • Rochester, NY
  • NPI 1407910953
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1376502856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WEST AVE",
            "city": "LE ROY",
            "state": "NY",
            "postal_code": "144821381",
            "telephone_number": "315-524-9735",
            "fax_number": "315-524-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 RIDGE RD",
            "city": "ONTARIO",
            "state": "NY",
            "postal_code": "145199101",
            "telephone_number": "315-524-9735",
            "fax_number": "315-524-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDICK",
        "first_name": "NANCY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025864-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "POMCO",
            "identifier": "P010025864",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE'S PROVIDER #",
            "identifier": "P010025864",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREF CARE",
            "identifier": "145096FT",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMM/PRI /NF/WC/ INS #",
            "identifier": "161578875",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AENTA ID #",
            "identifier": "7071570",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Precisionpro Office Solution, LLC
• Bonnie Jean Price, OT
• R.Mark Hilton Speech Pathology Services (lift up your voice multilingual intervention services)
• Leslie A Radka, PHARM D
• Lubomyr Ravlyk
• Beth Remis, RN,BSN
• Cathy Lee Riedman, LPN
• Leigh Rochelle-Woodley, MS.ED.; LMHC
• Denise H Ruiz, MS, FNP-C
• Jenifer Lee Moss Runkle

• Physical Therapist in Ontario, NY
• Providers in Ontario, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.