Organization Active NPI

Choice Physical Therapy, PLLC

  • Physical Therapist
  • Corning, NY
National Provider Identifier
1902329519
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CHOICE PHYSICAL THERAPY, PLLC
Practice address
35 Bridge St Ste 100
Corning, NY 14830-2206
Phone
(607) 973-2107
Fax
(607) 973-2777
NPI assigned
Jul 25, 2017
Last updated
Feb 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Authorized official

Name
Joel VanslykeNPI 1114136306
Title
Owner/PT
Phone
(607) 973-2107

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 Therapist 225100000X Primary

Addresses

Primary practice location

35 Bridge St Ste 100
Corning, NY 14830-2206

Mailing address

35 Bridge St Ste 100
Corning, NY 14830-2206
Phone (607) 973-2107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171208001652 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1153688627 Receives reassigned benefits from 3 practitioners
Practice locations: Corning, NY

National Provider Directory

National Provider Directory

Locations

123 W Market St
Corning, NY 14830
Phone (607) 973-2107

123 W Market St
Ste 101
Corning, NY 14830
Phone (607) 973-2107

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1902329519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BRIDGE ST STE 100",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302206",
            "telephone_number": "607-973-2107",
            "fax_number": "607-973-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BRIDGE ST STE 100",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302206",
            "telephone_number": "607-973-2107",
            "fax_number": "607-973-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "VANSLYKE",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "607-973-2107"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corning, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.