Eric C Furbeck, MS PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0190441 Issued in NY

Practice address

221 S James St
Bouton Physical Therapy
Rome, NY 13440

Phone

(315) 337-1436

Fax

(315) 337-1437

NPI assigned

Aug 10, 2006

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 5

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bouton Physical Therapy PCGroup PAC ID 5193743854, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bouton Physical Therapy PC

  • Physical Therapist
  • Rome, NY
  • NPI 1043225915
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811908429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S JAMES ST",
            "address_2": "BOUTON PHYSICAL THERAPY",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13440",
            "telephone_number": "315-337-1436",
            "fax_number": "315-337-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S JAMES ST",
            "address_2": "BOUTON PHYSICAL THERAPY",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13440",
            "telephone_number": "315-337-1436",
            "fax_number": "315-337-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURBECK",
        "first_name": "ERIC",
        "middle_name": "C",
        "credential": "MS PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0190441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7335383",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02243167",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "041110000020",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10061751",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "435189",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Cardinal Freeman, RN
• David Friedman, MD
• Michael W Fries, M.D.
• Trinity Fringo
• Anthony Fumarola, PHARM.D.
• Nancy Furlong, N.P.
• Kyra Furman, OTR/L
• Kristin Lynn Gallagher, NP
• Tami A Garland, LPN
• Maureen Gast, PT

• Physical Therapist in Rome, NY
• Providers in Rome, 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.