Active NPI
Performance Physical Therapy PC
- Physical Therapist
- Fulton, NY
National Provider Identifier
1437346178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PERFORMANCE PHYSICAL THERAPY PC
- Practice address
- 10 Canalview Mall
Suite C
Fulton, NY 13069-1769 - Phone
- (315) 593-8786
- Fax
- (315) 598-5538
- NPI assigned
- Sep 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roseanne L Taffe
- Title
- Office Manager
- Phone
- (315) 593-8786
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
10 Canalview Mall
Suite C
Fulton, NY 13069-1769
Mailing address
10 Canalview Mall
Suite C
Fulton, NY 13069-1769
Phone (315) 593-8786
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Weedsport, NY
- NPI 1437242989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190764800000",
"number": "1437346178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CANALVIEW MALL",
"address_2": "SUITE C",
"city": "FULTON",
"state": "NY",
"postal_code": "130691769",
"telephone_number": "315-593-8786",
"fax_number": "315-598-5538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CANALVIEW MALL",
"address_2": "SUITE C",
"city": "FULTON",
"state": "NY",
"postal_code": "130691769",
"telephone_number": "315-593-8786",
"fax_number": "315-598-5538"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERFORMANCE PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-26",
"last_updated": "2007-09-26",
"status": "A",
"authorized_official_last_name": "TAFFE",
"authorized_official_first_name": "ROSEANNE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "315-593-8786"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fulton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.