Jeffrey Soucy Jr., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

052943 Issued in NY

Practice address

513 W Union St
Newark, NY 14513-1365

Phone

(332) 249-8688

NPI assigned

Aug 19, 2024

Last updated

Aug 19, 2024By the provider in NPPES

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

Enrolled in NY, NJ2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Total Recovery PT PCGroup PAC ID 6002123023, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Total Recovery PT, PC

  • Physical Therapist
  • Little Falls, NJ
  • NPI 1659765261
  Medicare reassignment Care Compare group
• Brownstone Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Macedon, NY
  • NPI 1356530182
  Medicare reassignment NPD

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1427880277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 W UNION ST",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131365",
            "telephone_number": "332-249-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 W UNION ST",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131365",
            "telephone_number": "332-249-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUCY",
        "first_name": "JEFFREY",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michela Silivestro
• Kelly Lynn Sirianno, PHARMD
• Linda L Slattery
• Sarah Elizabeth Smith, MSPT
• Nichole Snyder
• Amanda Spamer, RN
• Joanne C Speight, RN
• Joan Marie Spencer, OTR
• Sandra Stanton, RN
• State of New York Comptrollers Office

• Physical Therapist in Newark, NY
• Providers in Newark, 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 Aug 19, 2024; 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.