Thomas Driscoll

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040454-1 Issued in NY

Practice address

1670 Empire Blvd
Suite 400
Webster, NY 14580-2119

Phone

(585) 671-0850

NPI assigned

Aug 12, 2016

Last updated

Aug 12, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Genesee Valley Physical Therapy and Sports Rehab PCGroup PAC ID 8325029606, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genesee Valley Physical Therapy & Sports Rehab., P.C.

  • Physical Therapist
  • Rochester, NY
  • NPI 1407910953
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1902350465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 EMPIRE BLVD",
            "address_2": "SUITE 400",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 EMPIRE BLVD",
            "address_2": "SUITE 400",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802119",
            "telephone_number": "585-671-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISCOLL",
        "first_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040454-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan A Donnelly, M.S.
• Paul Martin Dorscheid, MSN, ANP-C
• Stan D Drabik, DDS
• Shea Elizabeth Drake, PA-C
• Driscoll Chiropractic PLLC
• Tammy M Drollette, RN
• Judith Joy Duckey, LPN
• Rosemarie Dudkiewicz
• Sierra E Duquette, FNP
• Laura Dutremble, D.V.M.

• Physical Therapist in Webster, NY
• Providers in Webster, 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 Aug 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.