Active NPI
Adrien W Reidy, PT, DPT
- Physical Therapist
- Rochester, NY
National Provider Identifier
1497904791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 021761
- Practice address
- 40 Stace St Ste F
Rochester, NY 14612-5557 - Phone
- (585) 270-0606
- Fax
- (585) 535-6135
- NPI assigned
- Sep 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 021761 | NY | Primary |
Addresses
Primary practice location
40 Stace St Ste F
Rochester, NY 14612-5557
Mailing address
15 Glencross Cir
Rochester, NY 14626-4460
Phone (585) 319-4493
Other practice location 1
100 Groton Pkwy
Rochester, NY 14623-4540
Phone (585) 359-3710
Other practice location 2
6524 Matthew Dr
Lockport, NY 14094-9472
Phone (716) 434-5787
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
| License | State | Type | Specialty |
|---|---|---|---|
| 021761 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1497904791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 GLENCROSS CIR",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146264460",
"telephone_number": "585-319-4493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 STACE ST STE F",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146125557",
"telephone_number": "585-270-0606",
"fax_number": "585-535-6135"
}
],
"practiceLocations": [
{
"address_1": "100 Groton Pkwy",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146234540",
"country_code": "US",
"telephone_number": "585-359-3710",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6524 Matthew Dr",
"address_purpose": "LOCATION",
"city": "Lockport",
"state": "NY",
"postal_code": "140949472",
"country_code": "US",
"telephone_number": "716-434-5787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REIDY",
"first_name": "ADRIEN",
"middle_name": "W",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-11",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "021761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.