Individual provider Active NPI

Claire Petrosino, PT

  • Physical Therapist
  • Auburn, NY
National Provider Identifier
1427695006
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
91 Columbus St
Auburn, NY 13021-3121
Phone
(315) 515-3117
Fax
(315) 515-3121
NPI assigned
Dec 3, 2019
Last updated
Jan 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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 NU Primary

Addresses

Primary practice location

91 Columbus St
Auburn, NY 13021-3121

Mailing address

91 Columbus St
Auburn, NY 13021-3121
Phone (315) 515-3117

Other names 1

  • Claire Sargent Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address csargen1@ithaca.edu

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191226001749 NY Practitioner - Physical Therapist in Private Practice 5991139024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Physical Therapy Solutions PCGroup PAC ID 3971650615, 2 clinicians

Practice addresses (Care Compare)

91 Columbus St
Auburn, NY 13021-3121
Phone (315) 515-3117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Active Physical Therapy Solutions PC Physical Therapist CurrentSince Jan 2, 2020 Accepting new patients

Locations

91 Columbus St
Auburn, NY 13021
Phone (315) 255-3944

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1427695006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 COLUMBUS ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213121",
            "telephone_number": "315-515-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 COLUMBUS ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213121",
            "telephone_number": "315-515-3117",
            "fax_number": "315-515-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROSINO",
        "first_name": "CLAIRE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csargen1@ithaca.edu",
            "affiliation": "N",
            "address_1": "91 Columbus St",
            "city": "Auburn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130213121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CLAIRE",
            "last_name": "SARGENT",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.