NPIMap

Organization Active NPI

Agape Physical Therapy Services, PC

Doing business as Agape Physical Therapy

  • Physical Therapist
  • Brockport, NY
National Provider Identifier
1841200649
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
AGAPE PHYSICAL THERAPY SERVICES, PC
Doing business as
Agape Physical Therapy
Practice address
92 West Ave
Brockport, NY 14420-1306
Phone
(585) 637-0790
Fax
(585) 637-3572
NPI assigned
Aug 8, 2006
Last updated
Aug 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Authorized official

Name
Adam Nowak
Title
Business Manager
Phone
(585) 637-0790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

92 West Ave
Brockport, NY 14420-1306

Mailing address

92 West Ave
Brockport, NY 14420-1306
Phone (585) 637-0790

Other names 1

  • Agape Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040527001091 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1153302823 Receives reassigned benefits from 24 practitioners
Practice locations: Brockport, NY; Webster, NY; Rochester, NY; Fairport, NY; East Rochester, NY

National Provider Directory

National Provider Directory

Locations

92 West Ave
Brockport, NY 14420
Phone (585) 637-0790

2154 Fairport Nine Mile Point Rd
Ste 3
Fairport, NY 14450
Phone (585) 364-1567

141 Sullys Trl
Ste 910
Pittsford, NY 14534
Phone (585) 259-1182

3240 Chili Ave
Rochester, NY 14624
Phone (585) 889-7777

880 Elmgrove Rd
Ste 2
Rochester, NY 14624
Phone (585) 247-8535

95 Canal Landing Blvd
Ste 23
Rochester, NY 14626
Phone (585) 617-0581

1075 Ridge Rd
Webster, NY 14580
Phone (585) 671-1370

Practitioners & affiliated clinicians

Practitioners 47

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1841200649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 WEST AVE",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201306",
            "telephone_number": "585-637-0790",
            "fax_number": "585-637-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 WEST AVE",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201306",
            "telephone_number": "585-637-0790",
            "fax_number": "585-637-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE PHYSICAL THERAPY SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "NOWAK",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "585-637-0790"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agape Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.