Individual provider Active NPI

Niomi Sue Eipp, PT,DPT

  • Physical Therapist
  • Oswego, NY
National Provider Identifier
1447812300
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
044321-1 Issued in NY
Practice address
364 East Ave
Oswego, NY 13126-6148
Phone
(315) 326-0056
Fax
(315) 326-0102
NPI assigned
Jul 1, 2019
Last updated
Nov 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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 044321-1 NY Primary

Addresses

Primary practice location

364 East Ave
Oswego, NY 13126-6148

Mailing address

207 Pine St
Syracuse, NY 13210-1137
Phone (315) 326-0056

Other practice location 1

20053 Summit View Blvd
Watertown, NY 13601-2169
Phone (315) 681-4187

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191015002151 NY Practitioner - Physical Therapist in Private Practice 9931430444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onondaga Physical Therapy, LLCGroup PAC ID 8325039365, 25 clinicians
Physio One Physical Therapy PLLCGroup PAC ID 4183122278, 7 clinicians

Practice addresses (Care Compare)

19 E Genesee St
Suite 103
Baldwinsville, NY 13027-2501
Phone (315) 635-5000

8392 Oswego Rd
Liverpool, NY 13090-1002
Phone (315) 877-9747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044321-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physio One Physical Therapy PLLC Physical Therapist CurrentSince Jul 1, 2025 Accepting new patients
Onondaga Physical Therapy, LLC Physical Therapist Current Accepting new patients
Onondaga Physical Therapy, LLC Physical Therapist CurrentSince Apr 12, 2022 Accepting new patients
Onondaga Physical Therapy Physical Therapist CurrentSince Apr 12, 2022 Accepting new patients
Warner Physical Therapy PC Physical Therapist PastSince Dec 1, 2004 Accepting new patients
Onondaga Physical Therapy, LLC Physical Therapist PastSince Apr 12, 2022 Accepting new patients

Locations

19 E Genesee St
Ste 103
Baldwinsville, NY 13027

6800 E Genesee St
Fayetteville, NY 13066
Phone (315) 446-4400

8390 Oswego Rd
Liverpool, NY 13090
Phone (315) 652-4323

8392 Oswego Rd
Liverpool, NY 13090
Phone (315) 877-9747

7575 Buckley Rd
Syracuse, NY 13212
Phone (315) 635-0000

Organizations & group practices 6

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": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1447812300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 PINE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101137",
            "telephone_number": "315-326-0056",
            "fax_number": "315-326-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 EAST AVE",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131266148",
            "telephone_number": "315-326-0056",
            "fax_number": "315-326-0102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20053 Summit View Blvd",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "NY",
            "postal_code": "136012169",
            "country_code": "US",
            "telephone_number": "315-681-4187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EIPP",
        "first_name": "NIOMI",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044321-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.