Individual provider Active NPI

Pooja Patel

  • Physical Therapist
  • Liverpool, NY
National Provider Identifier
1386420040
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
054096-01 Issued in NY
Practice address
8390 Oswego Rd
Liverpool, NY 13090-1002
Phone
(315) 635-5000
Fax
(315) 635-3663
NPI assigned
Sep 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 054096-01 NY Primary

Addresses

Primary practice location

8390 Oswego Rd
Liverpool, NY 13090-1002

Mailing address

8390 Oswego Rd
Liverpool, NY 13090-1002
Phone (315) 635-5000

Other practice location 1

19 E Genesee St Ste 103
Baldwinsville, NY 13027-2501
Phone (315) 635-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250725003197 NY Practitioner - Physical Therapist in Private Practice 4880040302 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onondaga Physical Therapy, LLCGroup PAC ID 8325039365, 25 clinicians
Physio One Physical Therapy PLLCGroup PAC ID 4183122278, 7 clinicians

Practice addresses (Care Compare)

8390 Oswego Rd
Liverpool, NY 13090-1002
Phone (315) 635-5000

8392 Oswego Rd
Liverpool, NY 13090-1002
Phone (315) 877-9747

Merit-based Incentive Payment System (MIPS)

Final score
81.07 of 100Reported as group
Quality
76.54
Promoting interoperability
83
Improvement activities
40
Cost
74.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
054096-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Onondaga Physical Therapy, LLC Physical Therapist CurrentSince Jul 28, 2025 Accepting new patients
Physio One Physical Therapy PLLC Physical Therapist CurrentSince Feb 1, 2026 Accepting new patients
Onondaga Physical Therapy Physical Therapist CurrentSince Jul 28, 2025 Accepting new patients
Onondaga Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

19 E Genesee St
Ste 103
Baldwinsville, NY 13027

8390 Oswego Rd
Liverpool, NY 13090
Phone (315) 652-4323

8392 Oswego Rd
Liverpool, NY 13090
Phone (315) 877-9747

4107 W Genesee St
Ste 300
Syracuse, NY 13219
Phone (315) 877-9747

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1386420040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901002",
            "telephone_number": "315-635-5000",
            "fax_number": "315-635-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901002",
            "telephone_number": "315-635-5000",
            "fax_number": "315-635-3663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 E Genesee St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Baldwinsville",
            "state": "NY",
            "postal_code": "130272501",
            "country_code": "US",
            "telephone_number": "315-635-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "POOJA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "054096-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.