Organization Active NPI

Southern Tier Physical Therapy of Binghamton PC

  • Physical Therapist
  • Binghamton, NY
National Provider Identifier
1881759041
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SOUTHERN TIER PHYSICAL THERAPY OF BINGHAMTON PC
Practice address
17 Charles St
Binghamton, NY 13905-2224
Phone
(607) 771-8181
Fax
(607) 772-2899
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Authorized official

Name
Matthew Myette
Title
Physical Therapist Owner
Phone
(607) 771-8181

Specialties & licenses 1

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

Addresses

Primary practice location

17 Charles St
Binghamton, NY 13905-2224

Mailing address

17 Charles St
Binghamton, NY 13905-2224
Phone (607) 771-8181

Other names 1

  • Professional Corporation Other name

National Provider Directory

National Provider Directory

Locations

17 Charles St
Binghamton, NY 13905
Phone (607) 584-5560

240 Riverside Dr
Ste 2
Johnson City, NY 13790
Phone (607) 797-1652

240 Riverside Dr
Ste 3
Johnson City, NY 13790
Phone (607) 217-4341

Practitioners & affiliated clinicians

Practitioners 1

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": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1881759041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CHARLES ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139052224",
            "telephone_number": "607-771-8181",
            "fax_number": "607-772-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CHARLES ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139052224",
            "telephone_number": "607-771-8181",
            "fax_number": "607-772-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN TIER PHYSICAL THERAPY OF BINGHAMTON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "MYETTE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST OWNER",
        "authorized_official_telephone_number": "607-771-8181"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Binghamton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.