Organization Active NPI

Perkins Chiropractic & Physical Therapy PLLC

  • Physical Therapist
  • Plattsburgh, NY
National Provider Identifier
1841362498
Registry record updated Dec 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025940-1 Issued in NY
Legal business name
PERKINS CHIROPRACTIC & PHYSICAL THERAPY PLLC
Practice address
87 Hammond LN
Suite a
Plattsburgh, NY 12901-2000
Phone
(518) 324-6090
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2012

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

Authorized official

Name
Dr. Aaron Perkins, D.C., PTNPI 1184695439
Title
Member
Phone
(518) 324-6090

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X X010884-1 NY
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X X011137-1 NY
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 025940-1 NY Primary

Addresses

Primary practice location

87 Hammond LN
Suite a
Plattsburgh, NY 12901-2000

Mailing address

87 Hammond LN
Suite a
Plattsburgh, NY 12901-2000
Phone (518) 324-6090

Other identifiers 3

IdentifierTypeStateIssuer
1740230218OtherNYDR. BLAGOUE, NPI
1184695439OtherNYDR. PERKINS, NPI
02563751MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040831001382 NY Part B Supplier - Clinic/Group Practice 9638144850 Receives reassigned benefits from 4 practitioners
Practice locations: Plattsburgh, NY

National Provider Directory

National Provider Directory

Locations

87 Hammond Ln
Plattsburgh, NY 12901
Phone (518) 324-6090

87 Hammond Ln
Ste A
Plattsburgh, NY 12901
Phone (518) 324-6090

Practitioners & affiliated clinicians

Practitioners 3

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": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356048000000",
    "number": "1841362498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 HAMMOND LN",
            "address_2": "SUITE A",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012000",
            "telephone_number": "518-324-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 HAMMOND LN",
            "address_2": "SUITE A",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012000",
            "telephone_number": "518-324-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERKINS CHIROPRACTIC & PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2012-12-21",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "518-324-6090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., PT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010884-1",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011137-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025940-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. BLAGOUE, NPI",
            "identifier": "1740230218",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. PERKINS, NPI",
            "identifier": "1184695439",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02563751",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; 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.