Active NPI
Renee Marie Bartley, PTA, LMT
- Physical Therapy Assistant
- Cicero, NY
National Provider Identifier
1447159009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 015462-01
- Practice address
- 6221 Ny-31
Suite 101B
Cicero, NY 13039 - Phone
- (315) 212-3923
- NPI assigned
- Nov 2, 2026
- Last updated
- Nov 2, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 029139 | NY | |
| Physical Therapy Assistant | 225200000X | 015462-01 | NY | Primary |
Addresses
Primary practice location
6221 Ny-31
Suite 101B
Cicero, NY 13039
Mailing address
9660 Zuber Rd
Unit a
Taberg, NY 13471
Phone (585) 491-1641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1793577600000",
"number": "1447159009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9660 ZUBER RD",
"address_2": "UNIT A",
"city": "TABERG",
"state": "NY",
"postal_code": "13471",
"telephone_number": "585-491-1641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6221 NY-31",
"address_2": "SUITE 101B",
"city": "CICERO",
"state": "NY",
"postal_code": "13039",
"telephone_number": "315-212-3923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTLEY",
"first_name": "RENEE",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "PTA, LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-11-02",
"last_updated": "2026-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "029139",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "015462-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cicero, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.