Steven P Vandreason, PT
Individual provider Active NPI Specialist · E.. Syracuse, NY
NPI 1720065501 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1720065501
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 0177291 (NY)
- Practice address
- 4939
Brittonfield Parkway Suite 103
E.. Syracuse, NY 13057 - Phone
- (315) 234-7322
- Fax
- (315) 634-3264
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050511000130 | NY | Practitioner - Physical Therapist in Private Practice | 8729028568 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0177291 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebound Sports and Orthopedic Physical Therapy, P.C. | Current |
Accepting new patients | |
| Physical Therapy & Electrophysiologic Specialist of Ny PLLC | Past | Accepting new patients | |
| Brittonfield Physical Therapy PLLC | Specialist | Past |
Accepting new patients |
| Kuss Physical Therapy PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0177291 | NY | Yes |
Addresses
Primary practice location
4939
Brittonfield Parkway Suite 103
E.. Syracuse, NY 13057
Mailing address
4939
Brittonfield Parkway Suite 103
E.. Syracuse, NY 13057
Phone (315) 234-7322
Other providers in E.. Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.