Organization Active NPI

Apollo Physical Therapy, PLLC

  • Physical Therapist
  • East Syracuse, NY
National Provider Identifier
1386029221
Registry record updated Jul 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
APOLLO PHYSICAL THERAPY, PLLC
Practice address
6304 Carrier Parkway
East Syracuse, NY 13057
Phone
(607) 760-1823
NPI assigned
Jul 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2016

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

Authorized official

Name
Michael Christopher Cioci, PTNPI 1932130523
Title
Physical Therapist/Owner
Phone
(607) 760-4366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

6304 Carrier Parkway
East Syracuse, NY 13057

Mailing address

4012 Underbrush TRL
Liverpool, NY 13090-1119
Phone (607) 760-1823

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160223000559 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7911202379 Receives reassigned benefits from 2 practitioners
Practice locations: Oswego, NY

National Provider Directory

National Provider Directory

Locations

6304 Carrier Pkwy
East Syracuse, NY 13057
Phone (607) 760-1823

3 W Seneca St
Oswego, NY 13126
Phone (315) 216-6688

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468713600000",
    "number": "1386029221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 UNDERBRUSH TRL",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901119",
            "telephone_number": "607-760-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6304 CARRIER PARKWAY",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "13057",
            "telephone_number": "607-760-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2016-07-17",
        "status": "A",
        "authorized_official_last_name": "CIOCI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "607-760-4366",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.