Christopher Farruggio
Individual provider Active NPI Physical Therapist · Chittenango, NY
NPI 1376942268 · NPPES record last updated Aug 18, 2014
Key facts
- NPI
- 1376942268
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 037879 (NY)
- Practice address
- 1398 Route 5 W
Chittenango, NY 13037-1750 - Phone
- (315) 510-3372
- Fax
- (315) 510-3688
- NPI assigned
- Aug 18, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- State University of Ny Upstate Medical University, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sports Physical Therapy of New York, P.C.
Practice addresses (Care Compare)
240 W Seneca St
Suite 12
Manlius, NY 13104-2422
Phone (315) 682-0325
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150608000636 | NY | Practitioner - Physical Therapist in Private Practice | 2264753896 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037879 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Physical Therapy of New York, P.C. | Physical Therapist | Current |
Accepting new patients |
| Chittenango Physical Therapy, P.C. | Physical Therapist | Current |
Accepting new patients |
| Encompass Health Rehabilitation Hospital of Florence, Inc. | Past | Accepting new patients |
Locations
703 Granite St
Ste 3
Braintree, MA 02184
285 Delaware Ave
Ste 116
Buffalo, NY 14202
Phone (716) 381-8214
1398 State Route 5
Chittenango, NY 13037
Phone (315) 510-3372
240 W Seneca St
Ste 12
Manlius, NY 13104
Phone (315) 256-0490
1 West Ave
Ste 150
Saratoga Springs, NY 12866
Phone (518) 240-1152
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 037879 | NY | Yes |
Addresses
Primary practice location
1398 Route 5 W
Chittenango, NY 13037-1750
Mailing address
1398 Route 5 W
Chittenango, NY 13037-1750
Phone (315) 510-3372
Other providers in Chittenango, NY
- Kathryn R Dolan
- Dale Armetta Douglas I
- Lisa M Eager
- Empire State Medical Supplies, Inc
- Megan C Eschmann
- Jason Patrick Feak
- Sharmin Ferdous
- Jean Kernan Francisco
- Robert T Friedman
- Bridget A Frio
All providers in Chittenango, NY · Physical Therapist 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 Aug 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.