Emmanuel Physical Therapy Services PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

EMMANUEL PHYSICAL THERAPY SERVICES PLLC

Practice address

5875 Night Wind Cir
Jamesville, NY 13078-6475

Phone

(917) 742-0908

NPI assigned

Jan 27, 2022

Last updated

Jan 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angiela Marie Granja Aurelio, PT, DPTNPI 1558950295

Title

Physical Therapist

Phone

(917) 742-0908

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Angiela Marie Granja Aurelio

  • Physical Therapist
  • Jamesville, NY
  • NPI 1558950295
  NPD Authorized official

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1932852241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5875 NIGHT WIND CIR",
            "city": "JAMESVILLE",
            "state": "NY",
            "postal_code": "130786475",
            "telephone_number": "917-742-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 NIGHT WIND CIR",
            "city": "JAMESVILLE",
            "state": "NY",
            "postal_code": "130786475",
            "telephone_number": "917-742-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL PHYSICAL THERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "AURELIO",
        "authorized_official_first_name": "ANGIELA MARIE",
        "authorized_official_middle_name": "GRANJA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-742-0908",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter James Davis, PTA
• Genevieve M Defrancesco
• Kate Derrenbacker, MS, BCBA, LBA
• Vickie Lynn Desrosiers, LMT
• Rebecca Sue Eiholzer, MFT
• Beth Allyson Engel, OTR/L
• Allison Evans
• Jason Felver-Gant, BVMS
• Riley Fitzsimons, PT, DPT
• Christine Elizabeth Fordyce

• Physical Therapist in Jamesville, NY
• Providers in Jamesville, 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 Jan 27, 2022; 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.