Active NPI
Elizabeth Marie Boljonis, PT
- Physical Therapist
- Syracuse, NY
National Provider Identifier
1891007985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 023263
- Practice address
- 501 Northcliffe Rd
Syracuse, NY 13206-2957 - Phone
- (315) 433-9023
- NPI assigned
- Jul 6, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 023263 | NY | Primary |
| Physical Therapist | 225100000X | PT25507 | FL |
Addresses
Primary practice location
501 Northcliffe Rd
Syracuse, NY 13206-2957
Mailing address
501 Northcliffe Rd
Syracuse, NY 13206-2957
Phone (315) 433-9023
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 |
|---|---|---|---|
| PT25507 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278374400000",
"number": "1891007985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 NORTHCLIFFE RD",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132062957",
"telephone_number": "315-433-9023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 NORTHCLIFFE RD",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132062957",
"telephone_number": "315-433-9023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLJONIS",
"first_name": "ELIZABETH",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-06",
"last_updated": "2010-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "023263",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT25507",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.