Active NPI
Bradley R Pike, PT
- Physical Therapist
- East Syracuse, NY
National Provider Identifier
1912168451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 014305
- Practice address
- 314 E 1St St
East Syracuse, NY 13057-2927 - Phone
- (315) 439-8840
- Fax
- (315) 410-5554
- NPI assigned
- Jun 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 014305 | NY | Primary |
Addresses
Primary practice location
314 E 1St St
East Syracuse, NY 13057-2927
Mailing address
6319 Fly Rd
Suite 3
East Syracuse, NY 13057-9357
Phone (315) 410-6200
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 |
|---|---|---|---|
| 014305 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encompass Health Rehabilitation Hospital of Florence, Inc. | Past | 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 and National Provider Directory roles.
-
- Rehabilitation Hospital
- Florence, SC
- NPI 1598738296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406592000000",
"number": "1912168451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6319 FLY RD",
"address_2": "SUITE 3",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130579357",
"telephone_number": "315-410-6200",
"fax_number": "315-451-2095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 E 1ST ST",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130572927",
"telephone_number": "315-439-8840",
"fax_number": "315-410-5554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIKE",
"first_name": "BRADLEY",
"middle_name": "R",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-18",
"last_updated": "2014-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "014305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.