Christopher Vanfleet, PT
Individual provider Active NPI Physical Therapist · Wolcott, NY
NPI 1417492802 · NPPES record last updated May 14, 2024
Key facts
- NPI
- 1417492802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 041063-01 (NY)
- Practice address
- 12050 Mill St
Wolcott, NY 14590-1228 - Phone
- (315) 905-4155
- Fax
- (315) 905-4312
- NPI assigned
- Dec 21, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
12050 Mill St
Wolcott, NY 14590-1228
Phone (315) 905-4155
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170201000684 | NY | Practitioner - Physical Therapist in Private Practice | 0143503938 |
Reassigns benefits to 1 organization Practice locations: Wolcott, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041063-01 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanfleet Physical Therapy, PLLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 041063-01 | NY | Yes |
Addresses
Primary practice location
12050 Mill St
Wolcott, NY 14590-1228
Mailing address
12050 Mill St
Wolcott, NY 14590-1228
Phone (315) 905-4155
Other providers in Wolcott, NY
- Rite Aid of New York Inc
- Michael E Shoemaker
- Star Transportation Inc
- Sheila M Syrell
- Vanfleet Physical Therapy, PLLC
- Angela Vermeulen
- Rebecca W Wadsworth
- Walgreen Co
- Wayne LTC Pharmacy Inc
- Adam Jon Weis
All providers in Wolcott, 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 May 14, 2024. 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.