Caryl Petrus, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022654-1 Issued in NY

Practice address

159 West First Street
Oswego, NY 13126

Phone

(315) 342-9575

NPI assigned

Jul 2, 2019

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)

Enrolled

State licenses

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1740842525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3143 WEST RD",
            "city": "CONSTABLEVILLE",
            "state": "NY",
            "postal_code": "133252312",
            "telephone_number": "315-397-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 WEST FIRST STREET",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "13126",
            "telephone_number": "315-342-9575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7785 N State St",
            "address_purpose": "LOCATION",
            "city": "Lowville",
            "state": "NY",
            "postal_code": "133671229",
            "country_code": "US",
            "telephone_number": "315-376-5308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRUS",
        "first_name": "CARYL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022654-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Elizabeth Perrigo
• Alajah Person, COTA
• Jessica Sue Peters
• Jodi Peters
• Mackenzie Petrocci
• Krystin Michele Petzoldt, CCC-SLP
• Jenna Pfeiffer, MS, OTR/L
• Melissa Ann Phillips, MS CCC-SLP
• Physician Care PC (Oswego Health Medical Practice)
• Christopher Pike, PT, DPT, CSCS

• Physical Therapist in Oswego, NY
• Providers in Oswego, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.