Individual provider Active NPI

Brianna Utter

  • Physical Therapist
  • Oneonta, NY
National Provider Identifier
1619742186
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
051604-01 Issued in NY
Practice address
107 Winney Hill Rd
Oneonta, NY 13820-1156
Phone
(607) 263-0022
Fax
(607) 263-0023
NPI assigned
Nov 15, 2023
Last updated
Nov 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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 051604-01 NY Primary

Addresses

Primary practice location

107 Winney Hill Rd
Oneonta, NY 13820-1156

Mailing address

107 Winney Hill Rd
Oneonta, NY 13820-1156
Phone (607) 263-0022

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231129001949 NY Practitioner - Physical Therapist in Private Practice 0648628875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connect Physical Therapy of Ny PLLCGroup PAC ID 6507224706, 5 clinicians

Practice addresses (Care Compare)

107 Winney Hill Rd
Oneonta, NY 13820-1156
Phone (607) 263-0022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Physical Therapy of Ny PLLC Physical Therapist CurrentSince Nov 16, 2023 Accepting new patients

Locations

107 Winney Hill Rd
Oneonta, NY 13820
Phone (607) 263-0022

Organizations & group practices 1

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": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1619742186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WINNEY HILL RD",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138201156",
            "telephone_number": "607-263-0022",
            "fax_number": "607-263-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WINNEY HILL RD",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138201156",
            "telephone_number": "607-263-0022",
            "fax_number": "607-263-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTTER",
        "first_name": "BRIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "051604-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.