Individual provider Active NPI

Alyxandra Panarites

  • Physical Therapist
  • Syracuse, NY
National Provider Identifier
1700685948
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
053882-01 Issued in NY
Practice address
207 Pine St
Syracuse, NY 13210-1137
Phone
(315) 476-3176
NPI assigned
Mar 11, 2025
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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 053882-01 NY Primary

Addresses

Primary practice location

207 Pine St
Syracuse, NY 13210-1137

Mailing address

207 Pine St
Syracuse, NY 13210-1137

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250520000675 NY Practitioner - Physical Therapist in Private Practice 7315465721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peterson and Nellis Physical Therapy PCGroup PAC ID 8022007756, 5 clinicians

Practice addresses (Care Compare)

207 Pine St
Syracuse, NY 13210-1137
Phone (315) 476-3176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
053882-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peterson & Nellis Physical Therapy PC Physical Therapist CurrentSince May 13, 2025 Accepting new patients

Locations

3090 Belgium Rd
Baldwinsville, NY 13027
Phone (315) 638-0173

207 Pine St
Syracuse, NY 13210
Phone (315) 476-3175

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1700685948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 PINE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 PINE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101137",
            "telephone_number": "315-476-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANARITES",
        "first_name": "ALYXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "053882-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.