Individual provider Active NPI

Sylvia Stots

  • Specialist
  • Poughkeepsie, NY
National Provider Identifier
1861612459
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
002864 Issued in CT
Practice address
241 North Rd Ste 400a
Poughkeepsie, NY 12601-1154
Phone
(845) 431-8803
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 011759-1 NY
Specialist 174400000X 002864 CT Primary

Addresses

Primary practice location

241 North Rd Ste 400a
Poughkeepsie, NY 12601-1154

Mailing address

472 Willow Brook Rd
Clinton Corners, NY 12514-2539
Phone (845) 266-4647

Other identifiers 3

IdentifierTypeStateIssuer
080002864 CT 01OtherCTANTHEM BC BS
Q34531OtherNYEMPIRE BC BS
969841OtherNYMVP SPECIALIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011759-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Hudson Valley Early Education Center CurrentSince Jun 12, 2022 Accepting new patients
Nordicare Physical Therapy, P.C. Specialist Past Accepting new patients

Locations

241 North Rd
Ste 400A
Poughkeepsie, NY 12601
Phone (845) 431-8803

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1861612459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 WILLOW BROOK RD",
            "city": "CLINTON CORNERS",
            "state": "NY",
            "postal_code": "125142539",
            "telephone_number": "845-266-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 NORTH RD STE 400A",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011154",
            "telephone_number": "845-431-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOTS",
        "first_name": "SYLVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011759-1",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "002864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "080002864 CT 01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC BS",
            "identifier": "Q34531",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP SPECIALIST",
            "identifier": "969841",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.