Organization Active NPI

Windsor Physical Therapy, PC

  • Physical Therapist
  • Windsor, NY
National Provider Identifier
1700995685
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WINDSOR PHYSICAL THERAPY, PC
Practice address
104 Main St
Suite 1
Windsor, NY 13865-4141
Phone
(607) 655-2305
Fax
(607) 655-2306
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Mr. Paul N Yahner, MPTNPI 1285674556
Title
President
Phone
(607) 655-2305

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 Primary

Addresses

Primary practice location

104 Main St
Suite 1
Windsor, NY 13865-4141

Mailing address

104 Main St
Suite 1
Windsor, NY 13865-4141
Phone (607) 655-2305

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091021000120 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5294815577 Receives reassigned benefits from 1 practitioner
Practice locations: Windsor, NY

National Provider Directory

National Provider Directory

Locations

104 Main St
Ste 1
Windsor, NY 13865
Phone (607) 655-2305

88 Chapel St
#1
Windsor, NY 13865
Phone (607) 655-2305

Practitioners & affiliated clinicians

Practitioners 4

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1700995685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MAIN ST",
            "address_2": "SUITE 1",
            "city": "WINDSOR",
            "state": "NY",
            "postal_code": "138654141",
            "telephone_number": "607-655-2305",
            "fax_number": "607-655-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MAIN ST",
            "address_2": "SUITE 1",
            "city": "WINDSOR",
            "state": "NY",
            "postal_code": "138654141",
            "telephone_number": "607-655-2305",
            "fax_number": "607-655-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "YAHNER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-655-2305",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.