Individual provider Active NPI

Cindy Renk

  • Pediatric Physical Therapist
  • North Syracuse, NY
National Provider Identifier
1487960431
Registry record updated Aug 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
008205-1 Issued in NY
Practice address
5355 W Taft Rd
North Syracuse, NY 13212-2767
Phone
(315) 218-2700
NPI assigned
Aug 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 008205-1 NY Primary

Addresses

Primary practice location

5355 W Taft Rd
North Syracuse, NY 13212-2767

Mailing address

5355 W Taft Rd
North Syracuse, NY 13212-2767

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
008205-1NYMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Syracuse Central School District Past Accepting new patients

Organizations & group practices 1

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": "1282953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282953600000",
    "number": "1487960431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5355 W TAFT RD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132122767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5355 W TAFT RD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132122767",
            "telephone_number": "315-218-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENK",
        "first_name": "CINDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-28",
        "last_updated": "2010-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "008205-1",
            "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 Aug 28, 2010; 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.