Organization Active NPI

Prescription Fitness Physical Therapy, P.C.

Doing business as Prescription Fitness Physical Therapy and Sports Care

  • Physical Therapist
  • Geneva, NY
National Provider Identifier
1972721090
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PRESCRIPTION FITNESS PHYSICAL THERAPY, P.C.
Doing business as
Prescription Fitness Physical Therapy and Sports Care
Practice address
515 West Washington Street
Geneva, NY 14456
Phone
(315) 781-1010
Fax
(315) 781-1722
NPI assigned
Apr 23, 2007
Last updated
May 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Authorized official

Name
Joshua D. Kerlan, D.P.T.NPI 1417953910
Title
Owner/Director
Phone
(315) 781-1010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

515 West Washington Street
Geneva, NY 14456

Mailing address

515 West Washington Street
Geneva, NY 14456
Phone (315) 781-1010

Other names 1

  • Prescription Fitness Physical Therapy and Sports Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040408000531 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2961495429 Receives reassigned benefits from 2 practitioners
Practice locations: Geneva, NY

National Provider Directory

National Provider Directory

Locations

500 Liberty Cmns
Geneva, NY 14456
Phone (315) 781-1010

515 W Washington St
Geneva, NY 14456
Phone (315) 781-0101

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1972721090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 WEST WASHINGTON STREET",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "14456",
            "telephone_number": "315-781-1010",
            "fax_number": "315-781-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 WEST WASHINGTON STREET",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "14456",
            "telephone_number": "315-781-1010",
            "fax_number": "315-781-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTION FITNESS PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "KERLAN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "315-781-1010",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescription Fitness Physical Therapy and Sports Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Geneva, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.