Individual provider Active NPI

Pattie Jean Schryer, PT

  • Physical Therapist
  • Glenville, NY
National Provider Identifier
1457670069
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
033613 Issued in NY
Practice address
2 Tryon Ave
Glenville, NY 12302-3616
Phone
(518) 346-3543
NPI assigned
May 21, 2010
Last updated
Oct 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 033613 NY Primary
Physical Therapist 225100000X 40QA01353400 NJ

Addresses

Primary practice location

2 Tryon Ave
Glenville, NY 12302-3616

Mailing address

20 Peachtree CT
Suite 105
Holbrook, NY 11741-4616
Phone (631) 467-3700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141209000586 NY Practitioner - Physical Therapist in Private Practice 1254457591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Physical Therapy Wellness, PLLCGroup PAC ID 7315482882, 5 clinicians

Practice addresses (Care Compare)

1 Barney Rd
Suite 120
Clifton Park, NY 12065-5823
Phone (518) 373-0735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
033613NYMDGeneral Practice Dentistry
40QA01353400NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Physical Therapy, PLLC Physical Therapist CurrentSince Oct 4, 2021 Accepting new patients
Integrative Physical Therapy Wellness, PLLC Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients

Locations

1 Barney Rd
Ste 120
Clifton Park, NY 12065
Phone (518) 373-0735

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": "1274400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1457670069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PEACHTREE CT",
            "address_2": "SUITE 105",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414616",
            "telephone_number": "631-467-3700",
            "fax_number": "631-467-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TRYON AVE",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "123023616",
            "telephone_number": "518-346-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRYER",
        "first_name": "PATTIE",
        "middle_name": "JEAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-21",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033613",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01353400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.