Individual provider Active NPI

Patrick J Vanbeveren, PT

  • Physical Therapist
  • Syracuse, NY
National Provider Identifier
1598859795
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003667 Issued in NY
Practice address
2105 W Genesee St
Syracuse, NY 13219-1656
Phone
(315) 468-2726
Fax
(315) 487-0048
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 003667 NY Primary

Addresses

Primary practice location

2105 W Genesee St
Syracuse, NY 13219-1656

Mailing address

2105 W Genesee St
Syracuse, NY 13219-1656
Phone (315) 468-2726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3667NYMDAcupuncturist
003667NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Barry & Vanbeveren Physical Therapists, PC Physical Therapist Past Accepting new patients
Lafayette Physical Therapy LLC Physical Therapist Past Accepting new patients
Vanbeveren and Yankowitz Physical Therapists, PC Physical Therapist Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598859795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 W GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132191656",
            "telephone_number": "315-468-2726",
            "fax_number": "315-487-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 W GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132191656",
            "telephone_number": "315-468-2726",
            "fax_number": "315-487-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBEVEREN",
        "first_name": "PATRICK",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "003667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.