Individual provider Active NPI

Kathryn E Saccocci, PT

  • Physical Therapist
  • Syracuse, NY
National Provider Identifier
1477740348
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
029677-1 Issued in NY
Practice address
3300 Court St
Syracuse, NY 13206-1071
Phone
(315) 414-0504
Fax
(315) 414-0508
NPI assigned
Sep 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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 029677-1 NY Primary

Addresses

Primary practice location

3300 Court St
Syracuse, NY 13206-1071

Mailing address

3300 Court St
Syracuse, NY 13206-1071
Phone (315) 414-0504

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080225000066 NY Practitioner - Physical Therapist in Private Practice 8325122716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nje PT Movement PLLCGroup PAC ID 9739408295, 18 clinicians

Practice addresses (Care Compare)

290 Speigletown Rd
Troy, NY 12182-1124
Phone (518) 279-2740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
029677-1NYMDPhysical Therapist
029677NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nje PT Movement PLLC Physical Therapist CurrentSince Sep 11, 2023 Accepting new patients
Brittonfield Physical Therapy PLLC PastSince Feb 24, 2005 Accepting new patients

Locations

506 Campbell Ave
Troy, NY 12180
Phone (518) 203-6761

290 Speigletown Rd
Troy, NY 12182
Phone (518) 279-2740

86 Main Ave
Wynantskill, NY 12198
Phone (518) 326-0702

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1477740348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 COURT ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132061071",
            "telephone_number": "315-414-0504",
            "fax_number": "315-414-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 COURT ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132061071",
            "telephone_number": "315-414-0504",
            "fax_number": "315-414-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACCOCCI",
        "first_name": "KATHRYN",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029677-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.