Austin Drake

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

364 Madison St
Waterville, NY 13480-1116

Phone

(315) 841-3222

Fax

(315) 841-4023

NPI assigned

Aug 1, 2022

Last updated

Aug 1, 2022By the provider in NPPES

Sex

Male

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)

Not enrolled

Practice roles

Locations

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.

• Primary Physical Therapy PLLC

  dba PROActive Physical therapy

  • Physical Therapist
  • North Syracuse, NY
  • NPI 1922071257
  NPD
• Primary Physical Therapy PLLC

  dba PROActive Physical Therapy

  • Physical Therapist
  • Cortland, NY
  • NPI 1598088106
  NPD (past)

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1760119713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 N MAIN ST STE 100C",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121667",
            "telephone_number": "315-458-2552",
            "fax_number": "315-458-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 MADISON ST",
            "city": "WATERVILLE",
            "state": "NY",
            "postal_code": "134801116",
            "telephone_number": "315-841-3222",
            "fax_number": "315-841-4023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "792 N Main St Ste 100C",
            "address_purpose": "LOCATION",
            "city": "North Syracuse",
            "state": "NY",
            "postal_code": "132121667",
            "country_code": "US",
            "telephone_number": "315-458-2552",
            "fax_number": "315-458-2575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 W Seneca St",
            "address_purpose": "LOCATION",
            "city": "Manlius",
            "state": "NY",
            "postal_code": "131042420",
            "country_code": "US",
            "telephone_number": "315-692-2336",
            "fax_number": "315-692-2337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "AUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis E Chabot, MD
• Chapman Chiropractic, PLLC
• Community Memorial Hospital
• Nannette S Cowen, FNP
• CVS Albany, L.L.C. (CVS Pharmacy # 05015)
• James Gilchrist, DVM
• Tara Griffin
• Isaiah J Hammonds, MD
• Harding Nursing Home, LLC (Harding Nursing Home)
• Muhammad Harfoush, BVSC, DVM

• Physical Therapist in Waterville, NY
• Providers in Waterville, 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 Aug 1, 2022; 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.