Individual provider Active NPI

Amy L Papelino, PT, DPT

  • Physical Therapist
  • North Syracuse, NY
National Provider Identifier
1457507386
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030511 Issued in NY
Practice address
601 S Main St
North Syracuse, NY 13212
Phone
(315) 452-5580
Fax
(315) 452-5303
NPI assigned
Aug 12, 2008
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 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 030511 NY Primary

Addresses

Primary practice location

601 S Main St
North Syracuse, NY 13212

Mailing address

5700 W Genesee St Ste 2
Camillus, NY 13031-3202
Phone (315) 468-1050

Other practice location 1

601 S Main St
North Syracuse, NY 13212
Phone (315) 452-5580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Camillus Physical Therapy and Sports Rehabilitation Physical Therapist CurrentSince Nov 3, 2019 Accepting new patients
Peterson & Nellis Physical Therapy PC Physical Therapist PastSince Jan 1, 1999 Accepting new patients

Locations

5700 W Genesee St
Ste 2
Camillus, NY 13031
Phone (315) 468-1050

601 S Main St
Syracuse, NY 13212
Phone (315) 452-5580

Organizations & group practices 2

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": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1457507386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 W GENESEE ST STE 2",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130313202",
            "telephone_number": "315-468-1050",
            "fax_number": "315-468-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S MAIN ST",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "13212",
            "telephone_number": "315-452-5580",
            "fax_number": "315-452-5303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 S Main St",
            "address_purpose": "LOCATION",
            "city": "North Syracuse",
            "state": "NY",
            "postal_code": "13212",
            "country_code": "US",
            "telephone_number": "315-452-5580",
            "fax_number": "315-452-5303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPELINO",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.