Individual provider Active NPI

Maria Podbelski, PT

  • Physical Therapist
  • Syracuse, NY
National Provider Identifier
1952456725
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5395 Issued in SC
Practice address
103 Crawford Ave
Syracuse, NY 13224-1709
Phone
(315) 810-2423
NPI assigned
Jan 24, 2007
Last updated
Apr 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5395 SC Primary

Addresses

Primary practice location

103 Crawford Ave
Syracuse, NY 13224-1709

Mailing address

4149 Gates Rd
Jamesville, NY 13078-9624

Other practice location 1

800 Fording Island Rd
Bluffton, SC 29910-4845
Phone (843) 815-2555

Other names 1

  • Maria Lazipone Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210504001409 NY Practitioner - Physical Therapist in Private Practice 8224447248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crawford Physical Therapy PLLCGroup PAC ID 0244764710, 4 clinicians

Practice addresses (Care Compare)

Solvay, NY 13209
Phone (315) 751-3481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5395SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Crawford Physical Therapy PLLC Physical Therapist CurrentSince Jan 2, 2025 Accepting new patients
Neuro Fit PT and SLP PLLC Physical Therapist CurrentSince Apr 20, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1952456725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4149 GATES RD",
            "city": "JAMESVILLE",
            "state": "NY",
            "postal_code": "130789624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CRAWFORD AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241709",
            "telephone_number": "315-810-2423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Fording Island Rd",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299104845",
            "country_code": "US",
            "telephone_number": "843-815-2555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PODBELSKI",
        "first_name": "MARIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "LAZIPONE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.