Fresh Start Physical Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

021917 Issued in NY

Legal business name

FRESH START PHYSICAL THERAPY, PLLC

Practice address

907 North Ave
Syracuse, NY 13206-1644

Phone

(315) 440-5953

Fax

(315) 476-9694

NPI assigned

Jan 6, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Christine Marie Diorio, PTNPI 1821323411

Title

Manager

Phone

(315) 440-5953

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Christine Diorio, PT,GCS,CEEAA

  • Physical Therapist
  • Syracuse, NY
  • NPI 1821323411
  NPD (past) Authorized official

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422662400000",
    "number": "1841688470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 NORTH AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132061644",
            "telephone_number": "315-440-5953",
            "fax_number": "315-476-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 NORTH AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132061644",
            "telephone_number": "315-440-5953",
            "fax_number": "315-476-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-31",
        "status": "A",
        "authorized_official_last_name": "DIORIO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "315-440-5953",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "021917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalieka Jalissa Freeney, LPN
• Jennifer Lynn Frega, OTR
• Katherine Clair Frega, MD
• Wanda Fremont, M.D.
• Gregory Louis French, D.M.D.
• Alan David Freshman, MD
• Jennifer Fretwell, DO
• Timothy Freund, PA
• Cathleen C Frey, CRNA
• David K Frey, MD

• Physical Therapy Clinic/Center in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2015; 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.