Organization Active NPI

North Country Physical Therapy

  • Physical Therapist
  • Watertown, NY
National Provider Identifier
1619096450
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NORTH COUNTRY PHYSICAL THERAPY
Practice address
53 59 Public Square
Suite 101
Watertown, NY 13601
Phone
(315) 782-7872
Fax
(315) 782-7871
NPI assigned
Mar 29, 2007
Last updated
Mar 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
T Andrew Barber, PT
Title
PT /Owner
Phone
(315) 782-7872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NY Primary

Addresses

Primary practice location

53 59 Public Square
Suite 101
Watertown, NY 13601

Mailing address

53 59 Public Square
Suite 101
Watertown, NY 13601
Phone (315) 782-7872

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1619096450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 59 PUBLIC SQUARE",
            "address_2": "SUITE 101",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "13601",
            "telephone_number": "315-782-7872",
            "fax_number": "315-782-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 59 PUBLIC SQUARE",
            "address_2": "SUITE 101",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "13601",
            "telephone_number": "315-782-7872",
            "fax_number": "315-782-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "T",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PT /OWNER",
        "authorized_official_telephone_number": "315-782-7872",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.