Individual provider Active NPI

Amy D Vandreason, PT

  • Physical Therapist
  • East Syracuse, NY
National Provider Identifier
1760479026
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023212 Issued in NY
Practice address
7037 Manlius Center Rd
East Syracuse, NY 13057-2607
Phone
(315) 627-0026
Fax
(315) 627-0389
NPI assigned
Oct 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 023212 1
Physical Therapist 225100000X 023212 NY Primary

Addresses

Primary practice location

7037 Manlius Center Rd
East Syracuse, NY 13057-2607

Mailing address

7037 Manlius Center Rd
East Syracuse, NY 13057-2607
Phone (315) 627-0026

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050923000355 NY Practitioner - Physical Therapist in Private Practice 8527092220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tsa Physical Therapy PCGroup PAC ID 6002241312, 3 clinicians

Practice addresses (Care Compare)

7037 Manlius Ctr Rd
East Syracuse, NY 13057-2607
Phone (315) 627-0026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tsa Physical Therapy PC CurrentSince Nov 9, 2019 Accepting new patients

Locations

7037 Manlius Center Rd
East Syracuse, NY 13057
Phone (315) 480-2518

Organizations & group practices 1

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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1760479026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7037 MANLIUS CENTER RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130572607",
            "telephone_number": "315-627-0026",
            "fax_number": "315-627-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7037 MANLIUS CENTER RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130572607",
            "telephone_number": "315-627-0026",
            "fax_number": "315-627-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDREASON",
        "first_name": "AMY",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "023212 1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.