Michael Richard Saccone Jr., PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

009432 Issued in NY

Practice address

505 State Route 281
Tully, NY 13159-2494

Phone

(315) 696-2400

Fax

(315) 696-2486

NPI assigned

Oct 22, 2009

Last updated

Oct 22, 2009By 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)

Enrolled

State licenses

Practice roles

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.

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• John Cognato PT PC

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  NPD (past)

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1760718050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W FAYETTE ST",
            "address_2": "SUITE 400",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042856",
            "telephone_number": "315-472-1488",
            "fax_number": "315-472-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 STATE ROUTE 281",
            "city": "TULLY",
            "state": "NY",
            "postal_code": "131592494",
            "telephone_number": "315-696-2400",
            "fax_number": "315-696-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACCONE",
        "first_name": "MICHAEL",
        "middle_name": "RICHARD",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "009432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Lee Moench, R.N.,M.S.,C.S.,N.P.
• Lori Ann Mucha, M.S. CCC-SLP
• Onondaga County Department of Mental Health
• Charles Nicholas Pirro, NP
• Colin Francis Rybak, RPH
• Matthew Robert Scheuer
• Darcy Shirtz, LPN
• Jahleh Mohammadi St George, LMHC, RPT, CCPT
• Gregory Scott Steencken, MD
• Christine Ann Stewart, RN

• Physical Therapist in Tully, NY
• Providers in Tully, 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 Oct 22, 2009; 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.