Primary Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PRIMARY PHYSICAL THERAPY PLLC

Practice address

1522 Old Burrstone Rd
Utica, NY 13502-4804

Phone

(315) 841-3222

Fax

(315) 841-4023

NPI assigned

Mar 9, 2012

Organization subpart

No

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

Authorized official

Name

Jeffrey W Hathaway, PT, DPT

Title

Owner

Phone

(315) 458-2552

Specialties & licenses 1

Addresses

Other names 1

• PROActive Physical Therapy Doing business as

Tax ID family

Primary Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Primary Physical Therapy PLLC

  • Physical Therapist
  • North Syracuse, NY
  • NPI 1922071257
  NPD tax ID

Locations

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1891060885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 N MAIN ST",
            "address_2": "STE D",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121644",
            "telephone_number": "315-458-2552",
            "fax_number": "315-458-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 OLD BURRSTONE RD",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024804",
            "telephone_number": "315-841-3222",
            "fax_number": "315-841-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "HATHAWAY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-458-2552",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROActive Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allan Prescod Sr., LPN
• Catherine Presite
• Sabrina Prievo
• Vanessa Prilutskiy, PAS
• Primary Care Metabolic Disorders Medical Practice, PLLC
• Ashley Marie Priore, NP
• Mari Jane Pritchard
• Robin Pritchard
• Professional Counseling LCSW Services, PLLC
• Madison Lynn Proulx, LPN

• Physical Therapist in Utica, NY
• Providers in Utica, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.