Tracey Lynne Fitzgerald

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

027618-1 Issued in NY

Practice address

3400 Seneca Tpke
Suite 7
Canastota, NY 13032-4632

Phone

(315) 697-8514

Fax

(315) 697-8147

NPI assigned

Nov 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Liverpool Physical Therapy, PC 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Liverpool Physical Therapy, PC

  • Physical Therapist
  • Liverpool, NY
  • NPI 1154331486

  NY, Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1841366499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 OAKLEY DR",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132123107",
            "telephone_number": "315-335-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SENECA TPKE",
            "address_2": "SUITE 7",
            "city": "CANASTOTA",
            "state": "NY",
            "postal_code": "130324632",
            "telephone_number": "315-697-8514",
            "fax_number": "315-697-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "TRACEY",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027618-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tama Donath
• Kristin Douglas, RDN, CDN
• Euro
• Jill Fallon
• Fittings for You, Inc.
• Courtney A Franey, LMSW
• Roseann Marie Gardinier, RN
• Patrick Leo Gillette
• Kelly A Gilmore, LPN
• Greater Lenox Ambulance Service Inc

• All providers in Canastota, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.