Proactive of Pennsylvania PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT017496 Issued in PA

Legal business name

PROACTIVE OF PENNSYLVANIA PC

Practice address

7325 Oswego Rd
Liverpool, NY 13090-3717

Phone

(315) 451-6541

NPI assigned

Feb 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey W Hathaway, PTNPI 1518930809

Title

Owner/Physcial Therapy

Phone

(607) 227-6366

Specialties & licenses 1

Addresses

Other names 1

• PROActive Physical Therapy Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey W Hathaway, PT, DPT

  • Physical Therapist
  • North Syracuse, NY
  • NPI 1518930809
  NPD (past) Authorized official
• Michael D Cash, PT

  • Physical Therapist
  • Waterville, NY
  • NPI 1053384354
  NPD (past)
• John F Salva, PT

  • Physical Therapist
  • Clarks Green, PA
  • NPI 1205809290
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1689647950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130903717",
            "telephone_number": "315-451-6541",
            "fax_number": "315-451-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130903717",
            "telephone_number": "315-451-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE OF PENNSYLVANIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "HATHAWAY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PHYSCIAL THERAPY",
        "authorized_official_telephone_number": "607-227-6366",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT017496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROActive Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglass Powell, M.D.
• Jay Prakash, DDS
• Rachel Rose Pratt, NP
• Premise Health of New York Medical PC
• Diane Primerano, LPN
• Probe Health Services
• Charles David Prosser, PT
• Linda Anne Pryor, FNP
• Ptvaluenet LLC
• Grace Puchalski, LCSW-

• Physical Therapist in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.