Organization Active NPI

Horseheads Comprehensive Physical Therapy, PC, Corp

  • Physical Therapist
  • Horseheads, NY
National Provider Identifier
1689922155
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
014843-1 Issued in NY
Legal business name
HORSEHEADS COMPREHENSIVE PHYSICAL THERAPY, PC, CORP
Practice address
2758 Westinghouse Rd
Horseheads, NY 14845-8115
Phone
(607) 795-1539
Fax
(607) 795-1918
NPI assigned
Aug 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Authorized official

Name
Kathy MichaelsNPI 1326905738
Title
Office/Billing Manager
Phone
(607) 795-1539

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 014843-1 NY Primary

Addresses

Primary practice location

2758 Westinghouse Rd
Horseheads, NY 14845-8115

Mailing address

2758 Westinghouse Rd
Horseheads, NY 14845-8115
Phone (607) 795-1539

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130307000265 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4183879661 Receives reassigned benefits from 2 practitioners
Practice locations: Horseheads, NY

National Provider Directory

National Provider Directory

Locations

2758 Westinghouse Rd
Horseheads, NY 14845
Phone (607) 795-1539

Practitioners & affiliated clinicians

Practitioners 3

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": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1689922155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2758 WESTINGHOUSE RD",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148458115",
            "telephone_number": "607-795-1539",
            "fax_number": "607-795-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2758 WESTINGHOUSE RD",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148458115",
            "telephone_number": "607-795-1539",
            "fax_number": "607-795-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORSEHEADS COMPREHENSIVE PHYSICAL THERAPY, PC, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "MICHAELS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE/BILLING MANAGER",
        "authorized_official_telephone_number": "607-795-1539"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014843-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horseheads, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.