Individual provider Active NPI

John Ahern, PT

  • Physical Therapist
  • Webster, NY
National Provider Identifier
1700102282
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032587-1 Issued in NY
Practice address
807 Ridge Rd Ste B
Webster, NY 14580-2497
Phone
(585) 347-0202
Fax
(585) 347-0203
NPI assigned
Apr 9, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 032587-1 NY Primary

Addresses

Primary practice location

807 Ridge Rd Ste B
Webster, NY 14580-2497

Mailing address

807 Ridge Rd Ste B
Webster, NY 14580-2497
Phone (585) 347-0202

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100628000629 NY Practitioner - Physical Therapist in Private Practice 2769513282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesee Valley Physical Therapy and Sports Rehab PCGroup PAC ID 8325029606, 35 clinicians

Practice addresses (Care Compare)

2200 Penfield Rd
Penfield, NY 14526-1711
Phone (585) 377-6926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
032587-1NYMDPhysical Therapist
032587NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesee Valley Physical Therapy & Sports Rehab., P.C. Physical Therapist CurrentSince Feb 1, 2022 Accepting new patients
Sports Physical Therapy of New York, PC Physical Therapist Past Accepting new patients

Locations

2200 Penfield Rd
Penfield, NY 14526
Phone (585) 377-6170

1000 Pittsford Victor Rd
Pittsford, NY 14534
Phone (585) 248-0900

2300 Buffalo Rd
Bldg 300A
Rochester, NY 14624
Phone (716) 247-0080

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270771200000",
    "number": "1700102282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 RIDGE RD STE B",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802497",
            "telephone_number": "585-347-0202",
            "fax_number": "585-347-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 RIDGE RD STE B",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802497",
            "telephone_number": "585-347-0202",
            "fax_number": "585-347-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHERN",
        "first_name": "JOHN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032587-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.