Organization Active NPI

Tsa Physical Therapy PC

  • Physical Therapy Clinic/Center
  • East Syracuse, NY
National Provider Identifier
1629628334
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TSA PHYSICAL THERAPY PC
Practice address
7037 Manlius Center Rd
East Syracuse, NY 13057-2607
Phone
(315) 480-2518
NPI assigned
Sep 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Authorized official

Name
Troy Stuart Andrews, PTNPI 1902837347
Title
President
Phone
(315) 627-0026

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

7037 Manlius Center Rd
East Syracuse, NY 13057-2607

Mailing address

8100 Ashery LN
Cicero, NY 13039-8336
Phone (315) 480-2518

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200115000075 NY Part B Supplier - Clinic/Group Practice 6002241312 Receives reassigned benefits from 3 practitioners
Practice locations: East Syracuse, NY

National Provider Directory

National Provider Directory

Locations

7037 Manlius Center Rd
East Syracuse, NY 13057
Phone (315) 480-2518

7041 Manlius Center Rd
East Syracuse, NY 13057
Phone (315) 579-5610

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1629628334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 ASHERY LN",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130398336",
            "telephone_number": "315-480-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7037 MANLIUS CENTER RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130572607",
            "telephone_number": "315-480-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSA PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-14",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-627-0026",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.