Individual provider Active NPI

Amelia Stash, DPT

  • Physical Therapist
  • Rochester, NY
National Provider Identifier
1801626957
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P128558 Issued in NY
Practice address
2561 Lac de Ville Blvd Ste 100
Rochester, NY 14618-5645
Phone
(585) 473-1290
NPI assigned
Aug 5, 2024
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P128558 NY Primary

Addresses

Primary practice location

2561 Lac de Ville Blvd Ste 100
Rochester, NY 14618-5645

Mailing address

2561 Lac de Ville Blvd Ste 100
Rochester, NY 14618-5645
Phone (585) 473-1290

Other practice location 1

6534 Anthony Dr Ste C
Victor, NY 14564-1421
Phone (585) 869-5140

Other practice location 2

91 Erie Canal Dr Ste E
Rochester, NY 14626-4603
Phone (585) 910-2242

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240920001525 NY Practitioner - Physical Therapist in Private Practice 4789125428 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Limitless Physical Therapy PCGroup PAC ID 5991967846, 32 clinicians

Practice addresses (Care Compare)

2561 Lac de Ville Blvd
Suite 100
Rochester, NY 14618-5645
Phone (585) 473-1290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P128558NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Limitless Physical Therapy PC CurrentSince Aug 19, 2024 Accepting new patients
Limitless Management Services, LLC CurrentSince Oct 31, 2025 Accepting new patients

Locations

2561 Lac de Ville Blvd
Ste 100
Rochester, NY 14618
Phone (585) 424-3410

91 Erie Canal Dr
Ste E
Rochester, NY 14626
Phone (585) 910-2242

6534 Anthony Dr
Ste C
Victor, NY 14564
Phone (585) 869-5140

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1801626957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 LAC DE VILLE BLVD STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185645",
            "telephone_number": "585-473-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2561 LAC DE VILLE BLVD STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185645",
            "telephone_number": "585-473-1290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6534 Anthony Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Victor",
            "state": "NY",
            "postal_code": "145641421",
            "country_code": "US",
            "telephone_number": "585-869-5140",
            "fax_number": "585-869-5142",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "91 Erie Canal Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264603",
            "country_code": "US",
            "telephone_number": "585-910-2242",
            "fax_number": "585-869-5142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STASH",
        "first_name": "AMELIA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "P128558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.