Individual provider Active NPI

Anson Dann, PT

  • Orthopedic Physical Therapist
  • Pulaski, NY
National Provider Identifier
1811538192
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
045016 Issued in NY
Practice address
61 Delano St
Pulaski, NY 13142-1400
Phone
(315) 298-4274
Fax
(315) 634-6152
NPI assigned
Oct 8, 2019
Last updated
Oct 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 045016 NY Primary

Addresses

Primary practice location

61 Delano St
Pulaski, NY 13142-1400

Mailing address

PO Box 519
Watertown, NY 13601-0519
Phone (315) 782-3941

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191114001947 NY Practitioner - Physical Therapist in Private Practice 9638501539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians

Practice addresses (Care Compare)

720 Willow Ave
Ithaca, NY 14850-3215
Phone (607) 219-4600

Merit-based Incentive Payment System (MIPS)

Final score
87.13 of 100Reported as group
Quality
77.56
Promoting interoperability
100
Improvement activities
40
Cost
76.02

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045016NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cani PT OT SLP & Psychology PLLC CurrentSince Oct 14, 2019 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Aug 19, 2024 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Aug 19, 2024 Accepting new patients
Guthrie Medical Group PC Past Accepting new patients

Locations

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

720 Willow Ave
Ithaca, NY 14850
Phone (570) 887-3025

216 County Route 64
Mexico, NY 13114
Phone (315) 963-0864

61 Delano St
Pulaski, NY 13142
Phone (315) 298-4274

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Organizations & group practices 4

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": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1811538192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 519",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136010519",
            "telephone_number": "315-782-3941",
            "fax_number": "315-782-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 DELANO ST",
            "city": "PULASKI",
            "state": "NY",
            "postal_code": "131421400",
            "telephone_number": "315-298-4274",
            "fax_number": "315-634-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANN",
        "first_name": "ANSON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "045016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.