Individual provider Active NPI

Angiela Marie Granja Aurelio

  • Physical Therapist
  • Jamesville, NY
National Provider Identifier
1558950295
Registry record updated Jan 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
39747 Issued in NY
Practice address
5875 Night Wind Cir
Jamesville, NY 13078-6475
Phone
(917) 742-0908
NPI assigned
Jan 17, 2021
Last updated
Jan 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 39747 NY Primary

Addresses

Primary practice location

5875 Night Wind Cir
Jamesville, NY 13078-6475

Mailing address

5875 Night Wind Cir
Jamesville, NY 13078-6475
Phone (917) 742-0908

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221209002304 NY Practitioner - Physical Therapist in Private Practice 4587033774 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arc Rehab Services LLCGroup PAC ID 1153724109, 5 clinicians

Practice addresses (Care Compare)

Oswego, NY 13126
Phone (315) 887-0221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39747NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select PT, OT & SLP Rehabilitation Ny PLLC Physical Therapist CurrentSince Jul 15, 2023 Accepting new patients
Arc Rehab Services LLC Physical Therapist CurrentSince Jul 28, 2023 Accepting new patients
Emmanuel Physical Therapy Services PLLC Physical Therapist CurrentSince Feb 1, 2022 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1610841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610841600000",
    "number": "1558950295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5875 NIGHT WIND CIR",
            "city": "JAMESVILLE",
            "state": "NY",
            "postal_code": "130786475",
            "telephone_number": "917-742-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 NIGHT WIND CIR",
            "city": "JAMESVILLE",
            "state": "NY",
            "postal_code": "130786475",
            "telephone_number": "917-742-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AURELIO",
        "first_name": "ANGIELA MARIE",
        "middle_name": "GRANJA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-17",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "39747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamesville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.