Individual provider Active NPI

Angela Lynn Patnode, PT, DPT

  • Physical Therapist
  • Oswego, NY
National Provider Identifier
1972963320
Registry record updated Jul 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
039976 Issued in NY
Practice address
159 West First Street
Oswego, NY 13126
Phone
(315) 276-0617
NPI assigned
Feb 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2019

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 039976 NY Primary

Addresses

Primary practice location

159 West First Street
Oswego, NY 13126

Mailing address

138 State St
Clayton, NY 13624-1314
Phone (315) 276-0617

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171113002482 NY Practitioner - Physical Therapist in Private Practice 3072879733 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039976NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabsuite Inc Physical Therapist CurrentSince Jul 7, 2024 Accepting new patients
Warner Physical Therapy PC Physical Therapist CurrentSince Jan 29, 2020 Accepting new patients

Locations

3623 Crossings Dr
Ste 282
Prescott, AZ 86305
Phone (928) 296-9285

364 East Ave
Oswego, NY 13126
Phone (315) 326-0056

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563062400000",
    "number": "1972963320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 STATE ST",
            "city": "CLAYTON",
            "state": "NY",
            "postal_code": "136241314",
            "telephone_number": "315-276-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 WEST FIRST STREET",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "13126",
            "telephone_number": "315-276-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATNODE",
        "first_name": "ANGELA",
        "middle_name": "LYNN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-27",
        "last_updated": "2019-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2019; 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.