Austin Physical Therapy

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

012318-1 Issued in NY

Legal business name

AUSTIN PHYSICAL THERAPY

Practice address

1282 Waterloo Geneva Rd
Waterloo, NY 13165-1208

Phone

(315) 539-4683

Fax

(315) 539-4684

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Miss Julie S. Bellone, PT

Title

Owner

Phone

(315) 539-4683

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415664000000",
    "number": "1477598845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 WATERLOO GENEVA RD",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651208",
            "telephone_number": "315-539-4683",
            "fax_number": "315-539-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1282 WATERLOO GENEVA RD",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651208",
            "telephone_number": "315-539-4683",
            "fax_number": "315-539-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2014-11-11",
        "status": "A",
        "authorized_official_last_name": "BELLONE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-539-4683",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "012318-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDCARE GROUP #",
            "identifier": "100334FT",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE GROUP NUMBER",
            "identifier": "P010012318",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice L Adams, MS
• Sardar Rafiq Ahmad, R PH
• American Way Taxi Service
• Andrew P Smith, OD
• Shannon Bailey-Bradley
• Cierra J Barber, DPT
• Jamie Lynn Barber, NP
• Rose Mary Barto
• Suzanne Z Baylor, COTA

• Physical Medicine & Rehabilitation Physician in Waterloo, NY
• Providers in Waterloo, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; 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.