Individual provider Active NPI

Jean Duffy Rath, PT

  • Physical Therapist
  • Syracuse, NY
National Provider Identifier
1386739175
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013060-1 Issued in NY
Practice address
6304 Thompson Rd
Carrier Wellness Center - BLDG TR19
Syracuse, NY 13206
Phone
(315) 432-7500
Fax
(315) 432-6244
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 013060-1 NY Primary

Addresses

Primary practice location

6304 Thompson Rd
Carrier Wellness Center - BLDG TR19
Syracuse, NY 13206

Mailing address

PO Box 4808
Carrier Wellness Center - BLDG TR19
Syracuse, NY 13221
Phone (315) 432-7500

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
013060-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairgrounds Family Physicians PLLC Multi-Specialty PastSince Feb 1, 2002 Accepting new patients
Duffy-Rath Physical Therapy, PC Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386739175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4808",
            "address_2": "CARRIER WELLNESS CENTER - BLDG TR19",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13221",
            "telephone_number": "315-432-7500",
            "fax_number": "315-432-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6304 THOMPSON RD",
            "address_2": "CARRIER WELLNESS CENTER - BLDG TR19",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13206",
            "telephone_number": "315-432-7500",
            "fax_number": "315-432-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATH",
        "first_name": "JEAN",
        "middle_name": "DUFFY",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013060-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.