NPIMap

Organization Active NPI

Adirondack Physical & Occupational Therapy, LLC

  • Occupational Therapist
  • Oswego, NY
National Provider Identifier
1578869608
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
ADIRONDACK PHYSICAL & OCCUPATIONAL THERAPY, LLC
Practice address
127 E 1St St
Oswego, NY 13126-2104
Phone
(315) 207-2222
Fax
(315) 343-6923
NPI assigned
Feb 8, 2011
Last updated
Feb 8, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
ADIRONDACK PHYSICAL & OCCUPATIONAL THERAPY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Authorized official

Name
Shannon Marie Sullivan
Title
Manager
Phone
(315) 379-0992

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

127 E 1St St
Oswego, NY 13126-2104

Mailing address

19 Hodskin St
Suite 1
Canton, NY 13617-1175
Phone (315) 379-0992

National Provider Directory

National Provider Directory
Part of
Adirondack Physical and

Locations

8 Gulf Rd
Colton, NY 13625
Phone (315) 262-2250

127 E 1st St
Oswego, NY 13126
Phone (315) 207-2222

55 W 2nd St
Oswego, NY 13126
Phone (315) 212-3676

18564 US Route 11
Watertown, NY 13601
Phone (315) 785-3668

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 11

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": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1578869608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HODSKIN ST",
            "address_2": "SUITE 1",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171175",
            "telephone_number": "315-379-0992",
            "fax_number": "315-379-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E 1ST ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262104",
            "telephone_number": "315-207-2222",
            "fax_number": "315-343-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIRONDACK PHYSICAL & OCCUPATIONAL THERAPY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADIRONDACK PHYSICAL & OCCUPATIONAL THERAPY, LLC",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "315-379-0992"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.