Individual provider Active NPI

Julianne Reeh Parker-Mintz

  • Physical Therapist
  • Fairport, NY
National Provider Identifier
1659106169
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
55 Ayrault Rd
Fairport, NY 14450-2865
Phone
(585) 218-9570
NPI assigned
Sep 4, 2024
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 024380 NY
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

55 Ayrault Rd
Fairport, NY 14450-2865

Mailing address

25 Wedmore Rd
Fairport, NY 14450-4109
Phone (585) 339-8341

Other names 1

  • Julianne Reeh Parker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
024380NYMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1659106169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WEDMORE RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144504109",
            "telephone_number": "585-339-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 AYRAULT RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144502865",
            "telephone_number": "585-218-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER-MINTZ",
        "first_name": "JULIANNE",
        "middle_name": "REEH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "024380",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIANNE",
            "last_name": "PARKER",
            "middle_name": "REEH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.