Organization Active NPI

Thomas Janik Physical Therapy, PC

  • Physical Therapist
  • Vestal, NY
National Provider Identifier
1831248798
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THOMAS JANIK PHYSICAL THERAPY, PC
Practice address
200 Front St
Suite D
Vestal, NY 13850-1559
Phone
(607) 754-1776
Fax
(607) 748-5465
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Authorized official

Name
Thomas Janik, PTNPI 1588778468
Title
Physical Therapist Owner
Phone
(607) 754-1776

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

200 Front St
Suite D
Vestal, NY 13850-1559

Mailing address

200 Front St
Suite D
Vestal, NY 13850-1559
Phone (607) 754-1776

Other identifiers 1

IdentifierTypeStateIssuer
01501697MedicaidNY

Other names 1

  • Southern Tier Physical Therapy Associates PC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071108000226 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8325933328 Receives reassigned benefits from 6 practitioners
Practice locations: Endwell, NY; Johnson City, NY; Vestal, NY

National Provider Directory

National Provider Directory
Tax ID family
Thomas Janik Physical Therapy PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

93 Oak St
Binghamton, NY 13905
Phone (607) 754-1776

1 Club House Rd
Endicott, NY 13760
Phone (607) 754-0225

800 Hooper Rd
Ste 460
Endwell, NY 13760
Phone (607) 754-1776

732 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 754-1776

Practitioners & affiliated clinicians

Practitioners 9

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1831248798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FRONT ST",
            "address_2": "SUITE D",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501559",
            "telephone_number": "607-754-1776",
            "fax_number": "607-748-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FRONT ST",
            "address_2": "SUITE D",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501559",
            "telephone_number": "607-754-1776",
            "fax_number": "607-748-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS JANIK PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "JANIK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST OWNER",
        "authorized_official_telephone_number": "607-754-1776",
        "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": "01501697",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Tier Physical Therapy Associates PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vestal, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.