NPIMap

Organization Active NPI

House Call Physical Therapy of Rochester PLLC

  • Physical Therapy Clinic/Center
  • Rochester, NY
National Provider Identifier
1659826212
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
022430 Issued in NY
Legal business name
HOUSE CALL PHYSICAL THERAPY OF ROCHESTER PLLC
Practice address
53 Westmar Dr
Rochester, NY 14624-2535
Phone
(585) 851-1771
Fax
(585) 672-9030
NPI assigned
Aug 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Authorized official

Name
Joseph Shane Corriea, PT
Title
President/Physical Therapist
Phone
(585) 851-1771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 022430 NY Primary

Addresses

Primary practice location

53 Westmar Dr
Rochester, NY 14624-2535

Mailing address

53 Westmar Dr
Rochester, NY 14624-2535
Phone (585) 851-1771

Other identifiers 1

IdentifierTypeStateIssuer
1558574079OtherNYINDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170215002082 NY Part B Supplier - Clinic/Group Practice 5092098160 Receives reassigned benefits from 11 practitioners
Practice locations: Rochester, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1659826212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 WESTMAR DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146242535",
            "telephone_number": "585-851-1771",
            "fax_number": "585-672-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 WESTMAR DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146242535",
            "telephone_number": "585-851-1771",
            "fax_number": "585-672-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE CALL PHYSICAL THERAPY OF ROCHESTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "CORRIEA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "585-851-1771",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "022430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1558574079",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.