Individual provider Active NPI

Robert Nelson Verkey, P.T., D.P.T.

  • Specialist
  • Macedon, NY
National Provider Identifier
1740320597
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0201871 Issued in NY
Practice address
1218 Mayberry PL
Macedon, NY 14502-8773
Phone
(315) 986-1528
Fax
(315) 986-0958
NPI assigned
Feb 8, 2007
Last updated
Sep 14, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0201871 NY Primary

Addresses

Primary practice location

1218 Mayberry PL
Macedon, NY 14502-8773

Mailing address

3 West Ave
Le Roy, NY 14482-1367
Phone (315) 986-1528

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
0201871NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Podiatry PastSince Jun 12, 2002 Accepting new patients
Leroy Physical Therapy and Athletic Training, PLLC PastSince Sep 1, 2009 Accepting new patients
Genesee Valley Physical Therapy & Sports Rehab., P.C. PastSince Jul 11, 2024 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1740320597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WEST AVE",
            "city": "LE ROY",
            "state": "NY",
            "postal_code": "144821367",
            "telephone_number": "315-986-1528",
            "fax_number": "315-986-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 MAYBERRY PL",
            "city": "MACEDON",
            "state": "NY",
            "postal_code": "145028773",
            "telephone_number": "315-986-1528",
            "fax_number": "315-986-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERKEY",
        "first_name": "ROBERT",
        "middle_name": "NELSON",
        "name_prefix": "Mr.",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "0201871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macedon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.