Organization Active NPI

Proact Physical Therapy PC

  • Physical Therapist
  • Rochester, NY
National Provider Identifier
1821608654
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROACT PHYSICAL THERAPY PC
Practice address
1815 S Clinton Ave Ste 630
Rochester, NY 14618-5723
Phone
(585) 488-2203
NPI assigned
Aug 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Proact Physical Therapy
Title
Admin
Phone
(585) 488-2203

Specialties & licenses 1

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

Addresses

Primary practice location

1815 S Clinton Ave Ste 630
Rochester, NY 14618-5723

Mailing address

1815 S Clinton Ave Ste 630
Rochester, NY 14618-5723
Phone (585) 488-2203

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200924000239 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4082033063 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester, NY; Spencerport, NY

National Provider Directory

National Provider Directory

Locations

21 Union Hill Dr
Ste D2
Spencerport, NY 14559
Phone (585) 488-2203

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1821608654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 S CLINTON AVE STE 630",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185723",
            "telephone_number": "585-488-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 S CLINTON AVE STE 630",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185723",
            "telephone_number": "585-488-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACT PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "PHYSICAL THERAPY",
        "authorized_official_first_name": "PROACT",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "585-488-2203"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Jul 20, 2026; 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.