Active NPI
Kenneth Eric Truesdell, PT
- Physical Therapist
- Rochester, NY
National Provider Identifier
1881039907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 62 035439
- Practice address
- 465 Westfall Rd
Rochester, NY 14620-4645 - Phone
- (585) 463-2627
- NPI assigned
- May 2, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 62 035439 | NY | Primary |
Addresses
Primary practice location
465 Westfall Rd
Rochester, NY 14620-4645
Mailing address
465 Westfall Rd
Rochester, NY 14620-4645
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62 035439 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367452800000",
"number": "1881039907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 WESTFALL RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146204645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 WESTFALL RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146204645",
"telephone_number": "585-463-2627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUESDELL",
"first_name": "KENNETH",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-02",
"last_updated": "2013-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "62 035439",
"primary": true
}
],
"identifiers": [],
"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 May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.