Southern Tier Physical Therapy of Johnson City

Primary specialty

SpecialistTaxonomy code 174400000X

License

008333 Issued in NY

Legal business name

SOUTHERN TIER PHYSICAL THERAPY OF JOHNSON CITY

Practice address

240 Riverside Dr
Johnson City, NY 13790-2732

Phone

(607) 754-1776

Fax

(607) 748-5465

NPI assigned

Jun 5, 2012

Organization subpart

No

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

Authorized official

Name

John Todd Mansfield, PT

Title

Physical Therapist/Owner

Phone

(607) 754-1776

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1548521610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 RIVERSIDE DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902732",
            "telephone_number": "607-754-1776",
            "fax_number": "607-748-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 RIVERSIDE DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902732",
            "telephone_number": "607-754-1776",
            "fax_number": "607-748-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN TIER PHYSICAL THERAPY OF JOHNSON CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "MANSFIELD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "607-754-1776",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "008333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern New York Neurosurgical Group PC
• Southern New York Physical Therapy & Chiropractic, PLLC
• Southern Tier AIDS Program, Inc.
• Southern Tier Chiropractic PLLC
• Southern Tier Family Nurse Practitioner Services
• Southern Tier Pulmonary & Critical Care Medicine LLC
• Southern Tier Special Needs Resources LLC
• Southern Tier Surgery Center LLC
• Southern Tier Surgical PLLC
• Joshua Sowle, NP

• Specialist in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.