NPIMap

Organization Active NPI

Onondaga Physical Therapy, LLC

  • Physical Therapist
  • Syracuse, NY
National Provider Identifier
1811094402
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ONONDAGA PHYSICAL THERAPY, LLC
Practice address
4107 W Genesee St Ste 300
Syracuse, NY 13219-1952
Phone
(315) 635-5000
Fax
(315) 492-1203
NPI assigned
Sep 17, 2006
Last updated
Apr 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Mr. Lauris Sean Rigdon, PTNPI 1821194663
Title
Owner
Phone
(315) 635-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4107 W Genesee St Ste 300
Syracuse, NY 13219-1952

Mailing address

8390 Oswego Rd
Liverpool, NY 13090-1002
Phone (315) 635-5000

Other practice location 1

6800 E Genesee St
Fayetteville, NY 13066-1089
Phone (315) 635-5000

Other practice location 2

8390 Oswego Rd
Liverpool, NY 13090-1002
Phone (315) 635-5000

Other practice location 3

604 Old Liverpool Rd Ste 2
Liverpool, NY 13088-6033
Phone (315) 635-5000

Other practice location 4

11867 W Main St
Wolcott, NY 14590-1025
Phone (315) 635-5000

Other practice location 5

19 E Genesee St Ste 103
Baldwinsville, NY 13027-2501
Phone (315) 635-5000

Other practice location 6

6265 State Route 31
Cicero, NY 13039-8751
Phone (315) 635-5000

Other practice location 7

7575 Buckley Rd
Syracuse, NY 13212-1047
Phone (315) 635-0000

Other identifiers 2

IdentifierTypeStateIssuer
02420024MedicaidNY
03011401MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040519001154 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8325039365 Receives reassigned benefits from 27 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baldwinsville, NY; Cicero, NY; Fayetteville, NY; Liverpool, NY; Syracuse, NY; Wolcott, NY

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Onondaga Physical Therapy LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

19 E Genesee St
Ste 103
Baldwinsville, NY 13027

604 Old Liverpool Rd
Ste 2
Liverpool, NY 13088
Phone (315) 218-1451

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1811094402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901002",
            "telephone_number": "315-635-5000",
            "fax_number": "315-622-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 W GENESEE ST STE 300",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132191952",
            "telephone_number": "315-635-5000",
            "fax_number": "315-492-1203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6800 E Genesee St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NY",
            "postal_code": "130661089",
            "country_code": "US",
            "telephone_number": "315-635-5000",
            "fax_number": "315-446-1816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8390 Oswego Rd",
            "address_purpose": "LOCATION",
            "city": "Liverpool",
            "state": "NY",
            "postal_code": "130901002",
            "country_code": "US",
            "telephone_number": "315-635-5000",
            "fax_number": "315-622-1110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "604 Old Liverpool Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Liverpool",
            "state": "NY",
            "postal_code": "130886033",
            "country_code": "US",
            "telephone_number": "315-635-5000",
            "fax_number": "315-451-1752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11867 W Main St",
            "address_purpose": "LOCATION",
            "city": "Wolcott",
            "state": "NY",
            "postal_code": "145901025",
            "country_code": "US",
            "telephone_number": "315-635-5000",
            "fax_number": "315-594-2182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 E Genesee St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Baldwinsville",
            "state": "NY",
            "postal_code": "130272501",
            "country_code": "US",
            "telephone_number": "315-635-5000",
            "fax_number": "315-635-3663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6265 State Route 31",
            "address_purpose": "LOCATION",
            "city": "Cicero",
            "state": "NY",
            "postal_code": "130398751",
            "country_code": "US",
            "telephone_number": "315-635-5000",
            "fax_number": "315-458-2975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7575 Buckley Rd",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132121047",
            "country_code": "US",
            "telephone_number": "315-635-0000",
            "fax_number": "315-451-1752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ONONDAGA PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "RIGDON",
        "authorized_official_first_name": "LAURIS",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-635-5000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02420024",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03011401",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.