Bonnie Jean Pirro, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

012860-1 Issued in NY

Practice address

5700 W Genesee St Ste 2S
Camillus, NY 13031-3200

Phone

(315) 468-1050

Fax

(315) 468-1201

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

No

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.

• Camillus Physical Therapy

  • Physical Therapy Clinic/Center
  • Camillus, NY
  • NPI 1164542486
  NPD (past)
• Camillus Physical Therapy and Sports Rehabilitation

  • Physical Therapist
  • Camillus, NY
  • NPI 1457461006
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619049335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N MAIN ST",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121630",
            "telephone_number": "315-452-5580",
            "fax_number": "315-452-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 W GENESEE ST STE 2S",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130313200",
            "telephone_number": "315-468-1050",
            "fax_number": "315-468-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRRO",
        "first_name": "BONNIE",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012860-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Perrone, RPH
• Dina Naomi Pettiford, M.S., CCC-A
• Shelbie Filicia Pidkaminy, MS, NP, PMHNP-BC
• Tara Rose Pienkowski, M.S.
• Trudy H Piersall, LPN
• Podiatry Services of Central New York, PC
• Timothy Poole, PT
• Nancy Popps, NP
• Mark S Potenza, MD
• Preferred Audiology Care, LLC

• All providers in Camillus, NY
• Physical Therapist in New York

• 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.