Active NPI
Charles R D'Agostino, PT
- Physical Therapist
- Webster, NY
National Provider Identifier
1942463245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 030253-1
- Practice address
- 803A Ridge Rd.
Webster, NY 14580-2489 - Phone
- (585) 347-0202
- NPI assigned
- Jul 7, 2008
- Last updated
- May 24, 2013
- 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 | 030253-1 | NY | Primary |
Addresses
Primary practice location
803A Ridge Rd.
Webster, NY 14580-2489
Mailing address
803A Ridge Rd.
Webster, NY 14580
Phone (585) 347-0202
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 |
|---|---|---|---|
| 030253-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leroy Physical Therapy and Athletic Training, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
803 Ridge Rd
Ste A
Webster, NY 14580
Phone (585) 347-0202
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
- Le Roy, NY
- NPI 1154475739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369353600000",
"number": "1942463245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803A RIDGE RD.",
"city": "WEBSTER",
"state": "NY",
"postal_code": "14580",
"telephone_number": "585-347-0202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803A RIDGE RD.",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145802489",
"telephone_number": "585-347-0202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'AGOSTINO",
"first_name": "CHARLES",
"middle_name": "R",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-07",
"last_updated": "2013-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "030253-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.