Active NPI
Colin Cassidy
- Physical Therapy Assistant
- Batavia, NY
National Provider Identifier
1730567785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 009745-1
- Practice address
- 8 N Lyon St
Batavia, NY 14020-1306 - Phone
- (585) 409-6630
- NPI assigned
- May 11, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 009745-1 | NY | Primary |
Addresses
Primary practice location
8 N Lyon St
Batavia, NY 14020-1306
Mailing address
8 N Lyon St
Batavia, NY 14020-1306
Phone (585) 409-6630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009745-1 | Other | NY | LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009745-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431302400000",
"number": "1730567785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 N LYON ST",
"city": "BATAVIA",
"state": "NY",
"postal_code": "140201306",
"telephone_number": "585-409-6630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 N LYON ST",
"city": "BATAVIA",
"state": "NY",
"postal_code": "140201306",
"telephone_number": "585-409-6630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSIDY",
"first_name": "COLIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-11",
"last_updated": "2015-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "009745-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "009745-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Batavia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.