NPIMap

Organization Active NPI

Pediatric Physical Therapy Services, PLLC

  • Physical Therapist
  • Rochester, NY
National Provider Identifier
1861534281
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PEDIATRIC PHYSICAL THERAPY SERVICES, PLLC
Practice address
3255 Brighton Henrietta Town Line Rd
Suite 102
Rochester, NY 14623-2806
Phone
(585) 427-7610
Fax
(585) 427-7410
NPI assigned
Feb 13, 2007
Last updated
Oct 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Authorized official

Name
Pia L. Stampe, P.T.NPI 1801930250
Title
Owner
Phone
(585) 427-7610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3255 Brighton Henrietta Town Line Rd
Suite 102
Rochester, NY 14623-2806

Mailing address

3255 Brighton Henrietta Town Line Rd
Suite 102
Rochester, NY 14623-2806
Phone (585) 427-7610

Other identifiers 2

IdentifierTypeStateIssuer
G0189088590OtherBLUE CHOICE
60002OtherBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

3255 Brighton Henrietta Town Line Rd
Ste 102
Rochester, NY 14623
Phone (585) 427-2977

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1861534281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 BRIGHTON HENRIETTA TOWN LINE RD",
            "address_2": "SUITE 102",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232806",
            "telephone_number": "585-427-7610",
            "fax_number": "585-427-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 BRIGHTON HENRIETTA TOWN LINE RD",
            "address_2": "SUITE 102",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232806",
            "telephone_number": "585-427-7610",
            "fax_number": "585-427-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PHYSICAL THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "STAMPE",
        "authorized_official_first_name": "PIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-427-7610",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "G0189088590",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "60002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.