Individual provider Active NPI

Chase Abbott Pecoraro, DPT

  • Physical Therapist
  • Brockport, NY
National Provider Identifier
1649053984
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
051013 Issued in NY
Practice address
6660 Fourth Section Rd Ste 8
Brockport, NY 14420-2419
Phone
(585) 391-3250
Fax
(585) 391-3252
NPI assigned
Aug 18, 2023
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT42405 FL
Physical Therapist 225100000X 051013 NY Primary

Addresses

Primary practice location

6660 Fourth Section Rd Ste 8
Brockport, NY 14420-2419

Mailing address

6660 Fourth Section Rd Ste 8
Brockport, NY 14420-2419
Phone (585) 391-3250

Other practice location 1

5325 Greenwood Ave Ste 101
Mangonia Park, FL 33407-2452
Phone (561) 844-5255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231005001004 NY Practitioner - Physical Therapist in Private Practice 0244685618
I20250204002946 FL Practitioner - Physical Therapist in Private Practice 0244685618 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

Practice addresses (Care Compare)

5325 Greenwood Ave
Suite 101
West Palm Beach, FL 33407-2452
Phone (561) 844-5255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
051013NYMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: chase.pecoraro.1@13081.direct.athenahealth.com

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": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1649053984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6660 FOURTH SECTION RD STE 8",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144202419",
            "telephone_number": "585-391-3250",
            "fax_number": "585-391-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6660 FOURTH SECTION RD STE 8",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144202419",
            "telephone_number": "585-391-3250",
            "fax_number": "585-391-3252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5325 Greenwood Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mangonia Park",
            "state": "FL",
            "postal_code": "334072452",
            "country_code": "US",
            "telephone_number": "561-844-5255",
            "fax_number": "561-844-5245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECORARO",
        "first_name": "CHASE",
        "middle_name": "ABBOTT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-18",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT42405",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "051013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.