Steven Procopio, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

051820 Issued in NY

Practice address

240 W Seneca St
Manlius, NY 13104-3401

Phone

(315) 682-0325

Fax

(315) 682-0295

NPI assigned

Jan 4, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  NPD

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1396515987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 GRANITE ST STE 3",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845350",
            "telephone_number": "781-961-3370",
            "fax_number": "781-961-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W SENECA ST",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131043401",
            "telephone_number": "315-682-0325",
            "fax_number": "315-682-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCOPIO",
        "first_name": "STEVEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "051820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Chester Pienkowski, PARAMEDIC
• Meghan Elizabeth Platt I, ATC
• Lynda Marie Poole, O.T.R.
• James Poore II
• Diane Marie Popichak, RN
• Wayne W. Rath, PT
• Gary L Revercomb, DMD
• Jacob L Revercomb, DDS
• Debra Seguin Reynolds, MPH
• Marie S Richard, RN

• Physical Therapist in Manlius, NY
• Providers in Manlius, 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 Jan 4, 2024; 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.