Active NPI
Aaron M Vancuren, PT, DPT
- Physical Therapist
- Clyde, NY
National Provider Identifier
1740738459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040654
- Practice address
- 9964 Turnpike Rd
Clyde, NY 14433-9537 - Phone
- (315) 651-1422
- NPI assigned
- Sep 12, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 Therapist | 225100000X | 040654 | NY | Primary |
Addresses
Primary practice location
9964 Turnpike Rd
Clyde, NY 14433-9537
Mailing address
9964 Turnpike Rd
Clyde, NY 14433-9537
Phone (315) 651-1422
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040654 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1740738459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9964 TURNPIKE RD",
"city": "CLYDE",
"state": "NY",
"postal_code": "144339537",
"telephone_number": "315-651-1422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9964 TURNPIKE RD",
"city": "CLYDE",
"state": "NY",
"postal_code": "144339537",
"telephone_number": "315-651-1422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANCUREN",
"first_name": "AARON",
"middle_name": "M",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-12",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "040654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clyde, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.