Amanda Smith-Socaris, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

018951 Issued in NY

Practice address

609 N Franklin St
Watkins Glen, NY 14891-1302

Phone

(607) 535-7475

Fax

(607) 535-7445

NPI assigned

Aug 16, 2005

Last updated

Sep 3, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Seneca Physical Therapy of the Finger Lakes, PC

  • Physical Therapist
  • Watkins Glen, NY
  • NPI 1174672950
  Authorized official Same address or phone
• Intention Internal Medicine, PLLC

  • Internal Medicine Physician
  • Watkins Glen, NY
  • NPI 1134998156
  NPD
• David Alan McCune

  dba McCune, Ainslie & Associates PT

  • Physical Therapist
  • Ithaca, NY
  • NPI 1437230141
  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1932191962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 N FRANKLIN ST",
            "city": "WATKINS GLEN",
            "state": "NY",
            "postal_code": "148911302",
            "telephone_number": "607-535-7475",
            "fax_number": "607-535-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N FRANKLIN ST",
            "city": "WATKINS GLEN",
            "state": "NY",
            "postal_code": "148911302",
            "telephone_number": "607-535-7475",
            "fax_number": "607-535-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-SOCARIS",
        "first_name": "AMANDA",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "018951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02226644",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Schuyler County Volunteer Ambulance Association, Inc.
• Nanette Scogin, RN
• Seneca Dental Assoc
• Seneca Physical Therapy of the Finger Lakes, PC
• Anthony Michael Silsby
• Kristen Robbin Sorce, LMSW
• Janice Marie Standish, RN
• Beth A Stratton, LCSW
• Cynthia S Terry, M.D.
• Dawn Thornton, LMSW

• Orthopedic Physical Therapist in Watkins Glen, NY
• Providers in Watkins Glen, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.