Adirondack Physical and Occupational Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ADIRONDACK PHYSICAL AND OCCUPATIONAL THERAPY LLC

Practice address

127 E 1St St
Oswego, NY 13126-2104

Phone

(315) 207-2222

Fax

(315) 343-6923

NPI assigned

Oct 16, 2006

Last updated

Jun 9, 2021By 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

Mr. Michele R King, MS,OTR/LNPI 1659304426

Title

Member

Phone

(315) 207-2222

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• LLC Other name

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Adirondack Physical & Occupational Therapy, LLC

  • Occupational Therapist
  • Oswego, NY
  • NPI 1578869608
  NPPES parent name

Practitioners 8

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.

• Michele King, OT

  • Occupational Therapist
  • Oswego, NY
  • NPI 1659304426
  Medicare reassignment Care Compare group NPD Authorized official
• Jason A Myers, MSPT

  • Physical Therapist
  • Clay, NY
  • NPI 1194044479
  Medicare reassignment Care Compare group NPD
• Shellie Taylor, OTR/L

  • Occupational Therapist
  • Oswego, NY
  • NPI 1467876334
  Medicare reassignment Care Compare group NPD
• Makinley Wright, OTR/L

  • Occupational Therapist
  • Oswego, NY
  • NPI 1720833825
  Medicare reassignment Care Compare group NPD
• William Delfing, PT, DPT

  • Physical Therapist
  • Netcong, NJ
  • NPI 1316340383

  NY

  Medicare reassignment Care Compare group NPD
• Sheryll Dela Cruz, P.T.

  • Physical Therapist
  • Oswego, NY
  • NPI 1598929085
  Medicare reassignment NPD
• Patricia C Sawchuck, PT, DPT

  • Physical Therapist
  • Lynchburg, VA
  • NPI 1366196974

  NY

  Medicare reassignment NPD
• Troy Norton, OT

  • Occupational Therapist
  • Oswego, NY
  • NPI 1639886294
  NPD

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1942380969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E 1ST ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262104",
            "telephone_number": "315-207-2222",
            "fax_number": "315-343-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E 1ST ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262104",
            "telephone_number": "315-207-2222",
            "fax_number": "315-343-6923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Hodskin Street",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "NY",
            "postal_code": "13617",
            "country_code": "US",
            "telephone_number": "315-379-0992",
            "fax_number": "315-379-0993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADIRONDACK PHYSICAL AND OCCUPATIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "315-207-2222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS,OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC PTAN",
            "identifier": "5212370001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Juliet C Abendroth, MA CCC-SLP
• Jennifer A Adams, M.S., CCC-SLP
• Katharine Adams
• Maureen Adams
• Adirondack Physical & Occupational Therapy, LLC
• Emmanuel Agyapong
• Maryjane Aiello, RPH.
• Ahmad Al-Salameh, M.D.
• Cecily Ann Albach
• Ashley Rose Alberto

• Physical Therapist in Oswego, NY
• Providers in Oswego, 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 Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.