Larry Michael Gravante, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

014297-1 Issued in NY

Practice address

510 Towne Dr
Suite 100
Fayetteville, NY 13066-1331

Phone

(315) 637-4747

Fax

(315) 637-6711

NPI assigned

Jun 30, 2006

Last updated

Jul 8, 2007By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arc Rehab Services LLCGroup PAC ID 1153724109, 5 clinicians

Home Stretch Physical Therapy PCGroup PAC ID 4981996923, 14 clinicians

Practice addresses (Care Compare)

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.

• Arc Rehab Services LLC

  • Physical Therapy Clinic/Center
  • Oswego, NY
  • NPI 1578131728

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Home Stretch Physical Therapy , P.C.

  • Physical Therapist
  • Syracuse, NY
  • NPI 1326483785
  Medicare reassignment Care Compare group NPD
• Fitness Forum Physical Therapy, PC

  • Physical Therapist
  • Syracuse, NY
  • NPI 1710923222
  NPD (past)
• Mary Lou Corcoran PT, P.C.

  • Physical Therapy Clinic/Center
  • East Syracuse, NY
  • NPI 1699780338
  NPD (past)
• Syracuse Orthopedic Specialists, PC

  • Orthopaedic Surgery Physician
  • Liverpool, NY
  • NPI 1699195917

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801825377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 TOWNE DR",
            "address_2": "SUITE 100",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661331",
            "telephone_number": "315-637-4747",
            "fax_number": "315-637-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 TOWNE DR",
            "address_2": "SUITE 100",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661331",
            "telephone_number": "315-637-4747",
            "fax_number": "315-637-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVANTE",
        "first_name": "LARRY",
        "middle_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014297-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5056028",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNOW NY",
            "identifier": "000918366003",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• GN Hearing Care Corp (Beltone Electronics)
• Amy M Goodrum, PH.D.
• Robert Clark Goodwin, DDS
• Grassi DDS PC
• Nicole Grassi, DDS
• Green Lakes Dental, LLP
• Daniel Robert Green
• David Barry Greenberg, PH.D.
• Thomas F Greene, D.D.S.
• Brett B Greenky, M.D.

• Physical Therapist in Fayetteville, NY
• Providers in Fayetteville, 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 Jul 8, 2007; 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.