Active NPI
Cayuga Orthopedic & Sports PT
- Physical Therapist
- Auburn, NY
National Provider Identifier
1669542783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- CAYUGA ORTHOPEDIC & SPORTS PT
- Practice address
- 37 W Garden St
Suite 103
Auburn, NY 13021-2662 - Phone
- (315) 253-3291
- Fax
- (315) 258-8759
- NPI assigned
- Nov 8, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chad M Pens, DPT
- Title
- Owner
- Phone
- (315) 253-3291
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
37 W Garden St
Suite 103
Auburn, NY 13021-2662
Mailing address
37 W Garden St
Suite 103
Auburn, NY 13021-2662
Phone (315) 253-3291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02241569 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Auburn, NY
- NPI 1164410221
-
- Physical Therapist
- Ithaca, NY
- NPI 1306614235
-
- Physical Therapist
- Syracuse, NY
- NPI 1306565148
-
- Physical Therapist
- Clinton, NY
- NPI 1609989920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1669542783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 W GARDEN ST",
"address_2": "SUITE 103",
"city": "AUBURN",
"state": "NY",
"postal_code": "130212662",
"telephone_number": "315-253-3291",
"fax_number": "315-258-8759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 W GARDEN ST",
"address_2": "SUITE 103",
"city": "AUBURN",
"state": "NY",
"postal_code": "130212662",
"telephone_number": "315-253-3291",
"fax_number": "315-258-8759"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAYUGA ORTHOPEDIC & SPORTS PT",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PENS",
"authorized_official_first_name": "CHAD",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-253-3291",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02241569",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.