Gregory Paradis, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022473 Issued in NY

Practice address

104 Taberg St
Camden, NY 13316-3744

Phone

(315) 245-5286

Fax

(315) 245-5403

NPI assigned

Apr 3, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  Medicare reassignment
• State of New York Comptrollers Office

  dba Nys Opwdd

  • Physical Therapist
  • Albany, NY
  • NPI 1346710985
  NPD

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619939188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 TABERG ST",
            "city": "CAMDEN",
            "state": "NY",
            "postal_code": "133163744",
            "telephone_number": "315-245-5286",
            "fax_number": "315-245-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 TABERG ST",
            "city": "CAMDEN",
            "state": "NY",
            "postal_code": "133163744",
            "telephone_number": "315-245-5286",
            "fax_number": "315-245-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARADIS",
        "first_name": "GREGORY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Paul Morgan, DPT
• Abby Gail Mumford, OTR/L
• New York State Opwdd
• Julie Ann Noti, LCSW
• Buffy Jo Olson, LPN
• Robin Marie Pardee, LPN
• Jessica Marie Perusse, LCSW
• Poulin Eyecare Inc.
• Poulin Optometric Eyecare , PLLC
• Ronald H Poulin, O.D.

• Physical Therapist in Camden, NY
• Providers in Camden, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.