Vanfleet Physical Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

VANFLEET PHYSICAL THERAPY, PLLC

Practice address

12050 Mill St
Wolcott, NY 14590-1228

Phone

(315) 905-4155

Fax

(315) 905-4312

NPI assigned

May 14, 2024

Last updated

May 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher Vanfleet, PTNPI 1417492802

Title

Owner

Phone

(315) 905-4155

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Vanfleet, PT

  • Physical Therapist
  • Wolcott, NY
  • NPI 1417492802
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1700635711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12050 MILL ST",
            "city": "WOLCOTT",
            "state": "NY",
            "postal_code": "145901228",
            "telephone_number": "315-905-4155",
            "fax_number": "315-905-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12050 MILL ST",
            "city": "WOLCOTT",
            "state": "NY",
            "postal_code": "145901228",
            "telephone_number": "315-905-4155",
            "fax_number": "315-905-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANFLEET PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "VANFLEET",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-905-4155",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon D Rickner, LPN
• Rite Aid of New York Inc (Rite Aid Pharmacy 04967)
• Michael E Shoemaker, M.D.
• Star Transportation Inc
• Sheila M Syrell, LPN
• Christopher Vanfleet, PT
• Angela Vermeulen
• Rebecca W Wadsworth, M.D.
• Walgreen Co (Walgreens #19736)
• Wayne LTC Pharmacy Inc (Wolcott Pharmacy)

• Physical Therapy Clinic/Center in Wolcott, NY
• Providers in Wolcott, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.