Active NPI
John Ahern, PT
- Physical Therapist
- Webster, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 032587-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 032587-1 | NY | MD | Physical Therapist |
| 032587 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesee Valley Physical Therapy & Sports Rehab., P.C. | Physical Therapist | Current | 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.
-
- Physical Therapist
- Rochester, NY
- NPI 1407910953
NY, Physical Therapist
-
- Physical Therapist
- Webster, NY
- NPI 1760770606
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.