Organization Active NPI

Sports Physical Therapy of New York, PC

  • Physical Therapist
  • Webster, NY
National Provider Identifier
1760770606
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPORTS PHYSICAL THERAPY OF NEW YORK, PC
Practice address
807 Ridge Rd Ste B
Webster, NY 14580-2497
Phone
(585) 347-0202
Fax
(585) 347-0203
NPI assigned
Jul 13, 2011
Last updated
Jul 13, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
SPORTS PHYSICAL THERAPY OF NEW YORK, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Authorized official

Name
Lynn B Steenberg, PTNPI 1659328946
Title
President Ceo PT Owner
Phone
(315) 410-6200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

807 Ridge Rd Ste B
Webster, NY 14580-2497

Mailing address

807 Ridge Rd Ste B
Webster, NY 14580-2497
Phone (585) 347-0202

National Provider Directory

National Provider Directory
Tax ID family
Sports Physical Therapy3 organizations share this tax ID, including this one
Part of
Sports Physical Therapy

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

807 Ridge Rd
Ste B
Webster, NY 14580
Phone (585) 347-0202

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1760770606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 RIDGE RD STE B",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802497",
            "telephone_number": "585-347-0202",
            "fax_number": "585-347-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 RIDGE RD STE B",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802497",
            "telephone_number": "585-347-0202",
            "fax_number": "585-347-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS PHYSICAL THERAPY OF NEW YORK, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPORTS PHYSICAL THERAPY OF NEW YORK, PC",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "STEENBERG",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT CEO PT OWNER",
        "authorized_official_telephone_number": "315-410-6200",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.