Finger Lakes Therapy Works Physical Therapy, Occupational Therapy, Spe

Organization Active NPI Speech-Language Pathologist · Rochester, NY

NPI 1831541622 · NPPES record last updated Jun 5, 2023

Key facts

NPI
1831541622
Entity type
Organization (NPI type 2)
Primary specialty
Speech-Language Pathologist 235Z00000X
Legal business name
FINGER LAKES THERAPY WORKS PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPE
Practice address
2211 Lyell Ave Ste 102
Rochester, NY 14606-5743
Phone
(585) 563-6060
Fax
(585) 426-4031
NPI assigned
Jul 6, 2016
Organization subpart
No

Authorized official

Name
Tammy Korpiel NPI 1659423366
Title
President
Phone
(315) 462-3588

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 1

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

Practitioners 16

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20151009001161 NY Part B Supplier - Clinic/Group Practice 8426366220 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Clifton Springs, NY; Rochester, NY

National Provider Directory

Tax ID family
Finger Lakes Therapy Works (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
2251P0200X
Pediatric Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225XP0200X
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP
235Z00000X Yes

Addresses

Primary practice location

2211 Lyell Ave Ste 102
Rochester, NY 14606-5743

Mailing address

210 Clifton Springs Professional Park
Clifton Springs, NY 14432-1041

Other practice location 1

210 Clifton Springs Professional Park
Clifton Springs, NY 14432-1041
Phone (315) 906-0051

Other names

  • Finger Lakes Therapy Works Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 5, 2023.

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1831541622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CLIFTON SPRINGS PROFESSIONAL PARK",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144321041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 LYELL AVE STE 102",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146065743",
            "telephone_number": "585-563-6060",
            "fax_number": "585-426-4031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Clifton Springs Professional Park",
            "address_purpose": "LOCATION",
            "city": "Clifton Springs",
            "state": "NY",
            "postal_code": "144321041",
            "country_code": "US",
            "telephone_number": "315-906-0051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FINGER LAKES THERAPY WORKS PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "KORPIEL",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-462-3588"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Finger Lakes Therapy Works",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, NY

All providers in Rochester, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.