NPIMap

Organization Active NPI

Chautauqua PT OT & SLP Professionals PLLC

Doing business as Chautauqua Physical & Occupational Therapy

  • Specialist
  • Jamestown, NY
National Provider Identifier
1710910690
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
012956-1 Issued in NY
Legal business name
CHAUTAUQUA PT OT & SLP PROFESSIONALS PLLC
Doing business as
Chautauqua Physical & Occupational Therapy
Practice address
15 S Main St
Suite 220
Jamestown, NY 14701-6626
Phone
(716) 488-2322
Fax
(716) 488-2574
NPI assigned
Jul 7, 2006
Last updated
Mar 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Mr. Patrtick E Green, MS, PT, CERT, MDT
Title
Owner
Phone
(716) 488-2322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 012956-1 NY Primary

Addresses

Primary practice location

15 S Main St
Suite 220
Jamestown, NY 14701-6626

Mailing address

15 S Main St
Suite 220
Jamestown, NY 14701-6626
Phone (716) 488-2322

Other names 1

  • Chautauqua Physical & Occupational Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

51 E 3rd St
Dunkirk, NY 14048
Phone (716) 363-2244

10988 Bennett State Rd
Forestville, NY 14062
Phone (716) 732-7770

796 Fairmount Ave
Jamestown, NY 14701
Phone (716) 487-0330

99 E Chautauqua St
Mayville, NY 14757
Phone (716) 224-4099

Practitioners & affiliated clinicians

Practitioners 44

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.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1710910690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S MAIN ST",
            "address_2": "SUITE 220",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016626",
            "telephone_number": "716-488-2322",
            "fax_number": "716-488-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S MAIN ST",
            "address_2": "SUITE 220",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016626",
            "telephone_number": "716-488-2322",
            "fax_number": "716-488-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAUTAUQUA PT OT & SLP PROFESSIONALS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "PATRTICK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-488-2322",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, PT, CERT, MDT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "012956-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chautauqua Physical & Occupational Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.