Active NPI
Pamela Roemer Carey, P.T.
- Physical Therapist
- Jacksonville, NY
National Provider Identifier
1992893291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004313-1
- Practice address
- 1859 Trumansburg Rd.
Jacksonville, NY 14854-0122 - Phone
- (607) 387-5729
- Fax
- (607) 387-5315
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- 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 | 004313-1 | NY | Primary |
Addresses
Primary practice location
1859 Trumansburg Rd.
Jacksonville, NY 14854-0122
Mailing address
1859 Trumansburg Rd.
PO Box 122
Jacksonville, NY 14854-0122
Phone (607) 387-5729
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02209185 | Medicaid | NY | |
| 7365647 | Other | NY | AETNA |
| 000921582001 | Other | NY | HEALTHNOW NEW YORK |
| 802869 | Other | NY | ACN GROUP |
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 |
|---|---|---|---|
| 004313-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth I.Guthrie | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Jacksonville, NY
- NPI 1720176043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992893291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1859 TRUMANSBURG RD.",
"address_2": "PO BOX 122",
"city": "JACKSONVILLE",
"state": "NY",
"postal_code": "148540122",
"telephone_number": "607-387-5729",
"fax_number": "607-387-5315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1859 TRUMANSBURG RD.",
"city": "JACKSONVILLE",
"state": "NY",
"postal_code": "148540122",
"telephone_number": "607-387-5729",
"fax_number": "607-387-5315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAREY",
"first_name": "PAMELA",
"middle_name": "ROEMER",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "004313-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02209185",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7365647",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNOW NEW YORK",
"identifier": "000921582001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN GROUP",
"identifier": "802869",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.