Individual provider Active NPI

Thomas C Flanagan, PT

  • Specialist
  • Binghamton, NY
National Provider Identifier
1508806803
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
021728 Issued in NY
Practice address
1333 Front St
Binghamton, NY 13901-1149
Phone
(607) 648-4646
Fax
(607) 648-4647
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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 021728-1 NY
Specialist 174400000X 021728 NY Primary

Addresses

Primary practice location

1333 Front St
Binghamton, NY 13901-1149

Mailing address

1333 Front St
Binghamton, NY 13901-1149
Phone (607) 648-4646

Other identifiers 1

IdentifierTypeStateIssuer
021728-1OtherNYNYS LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040319000185 NY Practitioner - Physical Therapist in Private Practice 7315837531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York at Buffalo School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chenango Bridge Physical Therapy PCGroup PAC ID 4385738244, 2 clinicians

Practice addresses (Care Compare)

1333 Front St
Binghamton, NY 13901-1149
Phone (607) 648-4646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
021728-1NYMDPhysical Therapist
021728NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chenango Bridge Physical Therapy, P.C. Physical Therapist CurrentSince Jul 1, 2007 Accepting new patients
Binghamton Physical Therapy, P.C. Physical Therapist CurrentSince Jan 1, 2021 Accepting new patients
Greene Physical Therapy Physical Therapist Past Accepting new patients
Whitney Point Physical Therapy PC Physical Therapist Past Accepting new patients
Windsor Physical Therapy, PC Physical Therapist Past Accepting new patients
Gary G Parker Jr Physical Therapy PC Physical Therapist Past Accepting new patients
Whitney Point Physical Therapy Physical Therapist Past Accepting new patients

Locations

1 Kattelville Rd
Ste 3
Binghamton, NY 13901
Phone (607) 648-4646

1333 Front St
Binghamton, NY 13901
Phone (607) 648-4646

Organizations & group practices 7

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1508806803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 FRONT ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139011149",
            "telephone_number": "607-648-4646",
            "fax_number": "607-648-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 FRONT ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139011149",
            "telephone_number": "607-648-4646",
            "fax_number": "607-648-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "THOMAS",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021728-1",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "021728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "021728-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.