Brenda Lee Gelfuso, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

006105-1 Issued in NY

Practice address

3089 King Road
Sauquoit, NY 13456

Phone

(315) 796-3774

NPI assigned

Oct 24, 2007

Last updated

Oct 24, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1730368994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3089 KING ROAD",
            "city": "SAUQUOIT",
            "state": "NY",
            "postal_code": "13456",
            "telephone_number": "315-796-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3089 KING ROAD",
            "city": "SAUQUOIT",
            "state": "NY",
            "postal_code": "13456",
            "telephone_number": "315-796-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELFUSO",
        "first_name": "BRENDA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "006105-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Joseph Cardillo (Elite Physical Therapy)
• Raelynn Christman
• Samantha Marie Critelli, RN
• Edith M Depeyster, OTR
• Anita Dervisevic, FNP
• Mallory Henderson, LPN
• Pamela Ann Laymon, ANP
• Next Step Family Health Nurse Practitioner PLLC
• Judith Owens-Manley, PH.D., LCSW-R
• Marc David Ritter, M.D.

• Physical Therapy Assistant in Sauquoit, NY
• Providers in Sauquoit, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.