NPIMap

Organization Active NPI

Regain Physical Therapy PLLC

  • Physical Therapist
  • Pittsford, NY
National Provider Identifier
1538428461
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
026504-1 Issued in NY
Legal business name
REGAIN PHYSICAL THERAPY PLLC
Practice address
3819 Monroe Ave
Pittsford, NY 14534-1336
Phone
(585) 586-3819
Fax
(866) 463-1081
NPI assigned
May 12, 2012
Last updated
Dec 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Authorized official

Name
Heather Nichting, PTNPI 1700805728
Title
Owner
Phone
(585) 586-3819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 026504-1 NY Primary

Addresses

Primary practice location

3819 Monroe Ave
Pittsford, NY 14534-1336

Mailing address

3819 Monroe Ave
Pittsford, NY 14534-1336
Phone (585) 586-3819

Other identifiers 1

IdentifierTypeStateIssuer
11442154OtherNYCAQH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120517000015 NY Part B Supplier - Clinic/Group Practice 3971766676 Receives reassigned benefits from 11 practitioners
Practice locations: Pittsford, NY

National Provider Directory

National Provider Directory

Locations

3819 Monroe Ave
Pittsford, NY 14534
Phone (585) 586-3819

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1336780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1538428461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 MONROE AVE",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341336",
            "telephone_number": "585-586-3819",
            "fax_number": "866-463-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 MONROE AVE",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341336",
            "telephone_number": "585-586-3819",
            "fax_number": "866-463-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGAIN PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-12",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "NICHTING",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-586-3819",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026504-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11442154",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.