Jeffrey W Hathaway, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

008280 Issued in NY

Practice address

792 N Main St
Ste 100C
North Syracuse, NY 13212-1644

Phone

(315) 458-2552

Fax

(315) 458-2575

NPI assigned

Feb 8, 2006

Last updated

Mar 10, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Primary Physical Therapy PLLC

  dba PROActive Physical Therapy

  • Physical Therapist
  • North Syracuse, NY
  • NPI 1164745774
  Authorized official Same address or phone
• Primary Physical Therapy PLLC

  dba PROActive Physical Therapy

  • Physical Therapist
  • Utica, NY
  • NPI 1891060885
  Authorized official Same address or phone
• Proactive of Pennsylvania PC

  dba PROActive Physical Therapy

  • Physical Therapist
  • Liverpool, NY
  • NPI 1689647950
  NPD (past) Authorized official
• Ptvaluenet LLC

  • Physical Therapist
  • Liverpool, NY
  • NPI 1073805131
  Authorized official Same address or phone
• Breakthrough Physical Therapy

  • Physical Therapist
  • Morehead City, NC
  • NPI 1083937692
  NPD (past) Authorized official
• Breakthrough Physical Therapy Inc

  • Physical Therapist
  • Fayetteville, NC
  • NPI 1285958348
  NPD (past) Authorized official
• Breakthrough Physical Therapy Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1558598532
  Authorized official Same address or phone
• Breakthrough Physical Therapy Inc

  • Physical Therapist
  • Greensboro, NC
  • NPI 1659694263
  NPD (past) Authorized official
• Breakthrough Physical Therapy Inc

  • Physical Therapist
  • Winston Salem, NC
  • NPI 1700109329
  NPD (past) Authorized official
• Breakthrough Physical Therapy Inc

  • Physical Therapist
  • Fayetteville, NC
  • NPI 1740538057
  NPD (past) Authorized official
• Breakthrough SC LLC

  dba Your Life Wellness & Physical Therapy

  • Physical Therapy Clinic/Center
  • Waxhaw, NC
  • NPI 1952937328
  Authorized official Same address or phone
• Austin-Caputo Physical Therapy Services, Inc.

  • Physical Therapist
  • Winston Salem, NC
  • NPI 1235175340
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1518930809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 N MAIN ST",
            "address_2": "STE 100C",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121644",
            "telephone_number": "315-458-2552",
            "fax_number": "315-458-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 N MAIN ST",
            "address_2": "STE 100C",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121644",
            "telephone_number": "315-458-2552",
            "fax_number": "315-458-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "JEFFREY",
        "middle_name": "W",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "008280",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT017496",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "10927",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "068AX",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTHCARE",
            "identifier": "435663",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE SRRGA",
            "identifier": "P00404780",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNOW NY",
            "identifier": "918237001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00004725",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CNY",
            "identifier": "000013512",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Halprin, Inc. (AdaptHealth NY)
• Elizabeth Hamm, LCSW
• Hand in Health Massage & Wellness LTD
• Laurel Hannah, OTR/L
• Morgan Harrington, MORGAN HARRINGTON MS
• Healthdirect Institutional Health Services
• Nicole Heisler, PTA
• Lynne Henry
• Hereba Mental Health Counseling, LMHC, PC
• Heritage One Day Surgery LLC

• Physical Therapist in North Syracuse, NY
• Providers in North Syracuse, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.