Organization Active NPI

Raymond Physical Therapy PLLC

  • Physical Therapist
  • Weedsport, NY
National Provider Identifier
1831259456
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RAYMOND PHYSICAL THERAPY PLLC
Practice address
2685 Erie Dr
Weedsport, NY 13166-3204
Phone
(315) 834-6496
Fax
(315) 834-6499
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Authorized official

Name
Melanie J Raymond, PT
Title
PT Ceo
Phone
(315) 834-6496

Specialties & licenses 1

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

Addresses

Primary practice location

2685 Erie Dr
Weedsport, NY 13166-3204

Mailing address

2685 Erie Dr
Weedsport, NY 13166-3204
Phone (315) 834-6496

Other identifiers 1

IdentifierTypeStateIssuer
02140178MedicaidNY

National Provider Directory

National Provider Directory

Locations

2685 Erie Dr
Weedsport, NY 13166
Phone (315) 834-6496

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1831259456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 ERIE DR",
            "city": "WEEDSPORT",
            "state": "NY",
            "postal_code": "131663204",
            "telephone_number": "315-834-6496",
            "fax_number": "315-834-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 ERIE DR",
            "city": "WEEDSPORT",
            "state": "NY",
            "postal_code": "131663204",
            "telephone_number": "315-834-6496",
            "fax_number": "315-834-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PT CEO",
        "authorized_official_telephone_number": "315-834-6496",
        "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": "02140178",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weedsport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.