NPIMap

Organization Active NPI

Physical Therapy Unlimited of Syracuse PC

  • Physical Therapy Clinic/Center
  • Syracuse, NY
National Provider Identifier
1881680692
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHYSICAL THERAPY UNLIMITED OF SYRACUSE PC
Practice address
917 Granger Rd
Syracuse, NY 13219-2165
Phone
(315) 487-8451
Fax
(315) 487-1552
NPI assigned
Sep 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Eric J Yarah, PTNPI 1801881628
Title
Owner / PT
Phone
(315) 487-8451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

917 Granger Rd
Syracuse, NY 13219-2165

Mailing address

917 Granger Rd
Syracuse, NY 13219-2165
Phone (315) 487-8451

Other names 1

  • Carmen D Riccelli Physical Therapy Former legal business name

National Provider Directory

National Provider Directory

Locations

917 Granger Rd
Syracuse, NY 13219
Phone (315) 487-8451

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881680692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 GRANGER RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132192165",
            "telephone_number": "315-487-8451",
            "fax_number": "315-487-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 GRANGER RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132192165",
            "telephone_number": "315-487-8451",
            "fax_number": "315-487-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY UNLIMITED OF SYRACUSE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YARAH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER / PT",
        "authorized_official_telephone_number": "315-487-8451",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carmen D Riccelli Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.