NPIMap

Organization Active NPI

Physical Therapy & Electrophysiologic Specialist of Ny PLLC

  • Physical Therapist
  • Canastota, NY
National Provider Identifier
1457324832
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSICAL THERAPY & ELECTROPHYSIOLOGIC SPECIALIST OF NY PLLC
Practice address
419 S Peterboro St
Canastota, NY 13032-1431
Phone
(315) 697-6005
Fax
(315) 697-6006
NPI assigned
Feb 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James Peter Riccelli, PTNPI 1417927682
Title
Owner Operator
Phone
(315) 697-6005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X NY Primary

Addresses

Primary practice location

419 S Peterboro St
Canastota, NY 13032-1431

Mailing address

419 S Peterboro St
Canastota, NY 13032-1431
Phone (315) 697-6005

Other names 1

  • J P Riccelli Physical Therapy Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

419 S Peterboro St
Canastota, NY 13032
Phone (315) 697-6005

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457324832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 S PETERBORO ST",
            "city": "CANASTOTA",
            "state": "NY",
            "postal_code": "130321431",
            "telephone_number": "315-697-6005",
            "fax_number": "315-697-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 S PETERBORO ST",
            "city": "CANASTOTA",
            "state": "NY",
            "postal_code": "130321431",
            "telephone_number": "315-697-6005",
            "fax_number": "315-697-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY & ELECTROPHYSIOLOGIC SPECIALIST OF NY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICCELLI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "315-697-6005",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J P Riccelli Physical Therapy Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canastota, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.