Organization Active NPI

Page Orthopedic & Sports Physical Therapy

  • Specialist
  • Bath, NY
National Provider Identifier
1689855827
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0247801 Issued in NY
Legal business name
PAGE ORTHOPEDIC & SPORTS PHYSICAL THERAPY
Practice address
323 W Washington St
Suite 201
Bath, NY 14810-1017
Phone
(607) 622-5383
Fax
(607) 622-5386
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Dr. Brian J Page, PT,DPT,MS,ATC,CSCSNPI 1265546147
Title
Owner
Phone
(607) 622-5383

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0247801 NY Primary

Addresses

Primary practice location

323 W Washington St
Suite 201
Bath, NY 14810-1017

Mailing address

323 W Washington St
Suite 201
Bath, NY 14810-1017
Phone (607) 622-5383

National Provider Directory

National Provider Directory
Tax ID family
Page Orthopedic and Sports Physical Ther2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

323 W Washington St
#201
Bath, NY 14810
Phone (607) 621-6157

355 W Morris St
Ste 102
Bath, NY 14810
Phone (607) 622-5383

Practitioners & affiliated clinicians

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": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1689855827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 W WASHINGTON ST",
            "address_2": "SUITE 201",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101017",
            "telephone_number": "607-622-5383",
            "fax_number": "607-622-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 W WASHINGTON ST",
            "address_2": "SUITE 201",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101017",
            "telephone_number": "607-622-5383",
            "fax_number": "607-622-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAGE ORTHOPEDIC & SPORTS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-622-5383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT,DPT,MS,ATC,CSCS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "0247801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bath, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.