Achieve Physical Therapy, PC
Organization Active NPI Physical Therapist · Syracuse, NY
NPI 1790778983 · NPPES record last updated May 6, 2008
Key facts
- NPI
- 1790778983
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 010239 (NY)
- Legal business name
- ACHIEVE PHYSICAL THERAPY, PC
- Practice address
- 4700 Onondaga Blvd
Syracuse, NY 13219-3316 - Phone
- (315) 475-7121
- Fax
- (315) 475-7144
- NPI assigned
- Aug 24, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Martin Canavan, PT
- Title
- Owner/Operator
- Phone
- (315) 475-7121
Practitioners 83
-
Martin Canavan, PT
-
Olivia Anne Geruso, PT, DPT
-
Graceann Forrester, P.T., D.P.T.
-
Amandeep Arora, D.D.S
-
Vikas Goel, D.D.S
-
Natalie Anne Luzzi, PTA
-
Jitendra A Patel, DDS
-
Stephanie Ann Storozuk, PT, DPT
-
Daniela Aguilar, PT, DPT
-
Jensen Alvarado, DPT
-
Emily Barbella, PT, DPT
-
Elyssa Bartol, DPT
-
Jason Thomas Berg, MSPT
-
Daniel J Bertrand, DPT
-
Stephen Bosjlie, DPT
-
Steven Bowen, DPT
-
Andrew Braga, DPT
-
Melissa Anne Brandon, DPT
-
Michael Brosnick, PT, DPT
-
Kathryn Calpino, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031209000846 | NY | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 0749186971 |
Receives reassigned benefits from 4 practitioners Practice locations: Syracuse, NY |
National Provider Directory
Locations
411 Massachusetts Ave
Ste 302
Acton, MA 01720
Phone (978) 263-0007
395 Massachusetts Ave
Acton, MA 01720
Phone (978) 263-0007
191 Hartwell Rd
Bedford, MA 01730
Phone (781) 275-4111
34 Highland Cmn E
Hudson, MA 01749
Phone (978) 263-0007
4654 Onondaga Blvd
Syracuse, NY 13219
Phone (315) 475-7121
4700 Onondaga Blvd
Syracuse, NY 13219
Phone (315) 442-7779
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 010239 | NY | Yes |
Addresses
Primary practice location
4700 Onondaga Blvd
Syracuse, NY 13219-3316
Mailing address
1001 W Fayette St
Suite 400
Syracuse, NY 13204-2859
Phone (315) 472-1488
Other providers in Syracuse, NY
- Accesscny, Inc.
- Russell A Acevedo
- Ashish Acharya
- Madan Mohan Acharya
- Runa Acharya
- Nicole Ackerman
- Cynthia Joan Ackles
- Donna L Acox
- Christina Rose Acquaviva
- Natisha Donyell Adair
All providers in Syracuse, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.