Active NPI
Robert B Allen, P.T.
- Physical Therapist
- Liverpool, NY
National Provider Identifier
1902866759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 026728
- Practice address
- 4886 W Taft Rd
Liverpool, NY 13088-4810 - Phone
- (315) 457-5867
- Fax
- (315) 457-6306
- NPI assigned
- Mar 24, 2006
- Last updated
- May 5, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 026728 | NY | Primary |
Addresses
Primary practice location
4886 W Taft Rd
Liverpool, NY 13088-4810
Mailing address
231 Walton St
Suite 231
Syracuse, NY 13202-1230
Phone (315) 478-0380
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026728 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Stretch Physical Therapy , P.C. | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Syracuse, NY
- NPI 1326483785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1902866759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 WALTON ST",
"address_2": "SUITE 231",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132021230",
"telephone_number": "315-478-0380",
"fax_number": "315-478-0388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4886 W TAFT RD",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130884810",
"telephone_number": "315-457-5867",
"fax_number": "315-457-6306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "ROBERT",
"middle_name": "B",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "026728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liverpool, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.