Active NPI
Summit Physical Therapy LLC
- Physical Therapist
- Syracuse, NY
National Provider Identifier
1720082464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- SUMMIT PHYSICAL THERAPY LLC
- Practice address
- 1054 James St
Syracuse, NY 13203-2749 - Phone
- (315) 422-2912
- Fax
- (315) 422-3538
- NPI assigned
- Jun 10, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christine Roach, CMA
- Title
- Billing Dept
- Phone
- (315) 422-2912
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1054 James St
Syracuse, NY 13203-2749
Mailing address
1054 James St
Syracuse, NY 13203-2749
Phone (315) 422-2912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4136 State Route 31
Clay, NY 13041
103 W Seneca St
Manlius, NY 13104
Phone (315) 682-3387
105 W Seneca St
Manlius, NY 13104
Phone (315) 682-3387
105 W Seneca St
Ste 2
Manlius, NY 13104
91 E 1st St
Oswego, NY 13126
Phone (315) 216-6688
1054 James St
Syracuse, NY 13203
Phone (315) 422-2912
Practitioners & affiliated clinicians
Practitioners 22
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Manlius, NY
- NPI 1235696493
-
- Physical Therapist
- Cicero, NY
- NPI 1487108049
-
- Physical Therapist
- Liverpool, NY
- NPI 1356303077
-
- Physical Therapist
- Syracuse, NY
- NPI 1821092545
-
- Physical Therapist
- Syracuse, NY
- NPI 1003810730
-
- Physical Therapist
- Syracuse, NY
- NPI 1417922162
-
- Physical Therapist
- Cicero, NY
- NPI 1851124226
-
- Physical Therapist
- Liverpool, NY
- NPI 1548788615
-
- Physical Therapist
- Syracuse, NY
- NPI 1346555190
-
- Physical Therapist
- Baldwinsville, NY
- NPI 1265780571
-
- Physical Therapist
- Syracuse, NY
- NPI 1366819443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1720082464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1054 JAMES ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132032749",
"telephone_number": "315-422-2912",
"fax_number": "315-422-3538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1054 JAMES ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132032749",
"telephone_number": "315-422-2912",
"fax_number": "315-422-3538"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROACH",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "BILLING DEPT",
"authorized_official_telephone_number": "315-422-2912",
"authorized_official_credential": "CMA"
},
"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 Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.