Individual provider Active NPI

Patrick Steven Privatera, PT ATC

  • Physical Therapist
  • Leroy, NY
National Provider Identifier
1750459442
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0166471 Issued in NY
Practice address
3 West Ave
Leroy, NY 14482
Phone
(585) 768-4550
Fax
(585) 768-2335
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0166471 NY Primary

Addresses

Primary practice location

3 West Ave
Leroy, NY 14482

Mailing address

3 West Ave
Leroy, NY 14482
Phone (585) 768-4550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050429000276 NY Practitioner - Physical Therapist in Private Practice 0345226031 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0166471NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesee Valley Physical Therapy & Sports Rehab., P.C. Physical Therapist CurrentSince Jul 25, 2024 Accepting new patients
Churchville Physical Therapy, PC PastSince Apr 14, 2005 Accepting new patients
Shuman Physical Therapy Associates, P.C. Physical Therapist PastSince Mar 26, 2025 Accepting new patients

Locations

5 Alva Pl
Batavia, NY 14020
Phone (585) 343-9496

3 West Ave
Le Roy, NY 14482
Phone (585) 224-5179

1218 Mayberry Pl
Macedon, NY 14502
Phone (315) 986-1528

2300 Buffalo Rd
Bldg 300A
Rochester, NY 14624
Phone (716) 247-0080

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750459442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WEST AVE",
            "city": "LEROY",
            "state": "NY",
            "postal_code": "14482",
            "telephone_number": "585-768-4550",
            "fax_number": "585-768-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WEST AVE",
            "city": "LEROY",
            "state": "NY",
            "postal_code": "14482",
            "telephone_number": "585-768-4550",
            "fax_number": "585-768-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIVATERA",
        "first_name": "PATRICK",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "PT ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0166471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leroy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.