NPIMap

Organization Active NPI

Opalecky Physical Therapy Services, PLLC

  • Early Intervention Provider Agency
  • Kent, NY
National Provider Identifier
1679956288
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
OPALECKY PHYSICAL THERAPY SERVICES, PLLC
Practice address
965 Kent Rd
Kent, NY 14477-9616
Phone
(585) 520-6067
Fax
(585) 520-6067
NPI assigned
Jun 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Authorized official

Name
Mrs. Julie Beth Opalecky, PTNPI 1740430313
Title
Owner
Phone
(585) 520-6067

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
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

965 Kent Rd
Kent, NY 14477-9616

Mailing address

965 Kent Rd
Kent, NY 14477-9616
Phone (585) 520-6067

National Provider Directory

National Provider Directory

Practitioners 1

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": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1679956288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 KENT RD",
            "city": "KENT",
            "state": "NY",
            "postal_code": "144779616",
            "telephone_number": "585-520-6067",
            "fax_number": "585-520-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 KENT RD",
            "city": "KENT",
            "state": "NY",
            "postal_code": "144779616",
            "telephone_number": "585-520-6067",
            "fax_number": "585-520-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPALECKY PHYSICAL THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "OPALECKY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-520-6067",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.

Verify at the official NPI Registry.