Michael A Agosh, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

013092 Issued in NY

Practice address

601 S Main St
North Syracuse, NY 13212-3614

Phone

(315) 452-5580

Fax

(315) 452-5303

NPI assigned

Feb 16, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Camillus Physical Therapy and Sports Rehabilitation

  • Physical Therapist
  • Camillus, NY
  • NPI 1457461006
  NPD

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1942955166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 W GENESEE ST STE 2",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130313260",
            "telephone_number": "315-468-1050",
            "fax_number": "315-468-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S MAIN ST",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132123614",
            "telephone_number": "315-452-5580",
            "fax_number": "315-452-5303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 W Genesee St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Camillus",
            "state": "NY",
            "postal_code": "130313260",
            "country_code": "US",
            "telephone_number": "315-468-1050",
            "fax_number": "315-468-1201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGOSH",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "013092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5700 W Genesee St Ste 2",
            "city": "Camillus",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130313260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jean T Adkins, PT
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• Kathryn Albanese, FNP
• Raymond Alcuri, M.D.
• Jennifer Aldamuy, LMSW
• Andrea Aldrich, LCSW
• All Around Transport of Cny Inc.

• Physical Therapy Assistant in North Syracuse, NY
• Providers in North Syracuse, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.