FITNESS FORUM PHYSICAL AND OCCUPATIONAL THERAPY, PLLC (NPI# 1700170545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700170545 |
Entity Type | Organization |
Organization Name | FITNESS FORUM PHYSICAL AND OCCUPATIONAL THERAPY, PLLC |
Practice Address |
5719 Widewaters Pkwy De Witt NY 13214-1985 |
Mailing Address |
231 Walton St Suite 200 Syracuse NY 13202-1885 |
Practice Telephone | 3154780380 |
Practice Fax Number | 3154780388 |
Mailing Telephone | 3154780380 |
Mailing Fax Number | 3154780388 |
Enumeration Date | 2011-06-08 |
Last Update Date | 2011-07-12 |
Authorized Official Name | MICHAEL L LINKIEWICZ (PRESIDENT) |
Authorized Official Telephone | 3154780380 |
Authorized Official Credential | PT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225100000X | Physical Therapist | 011796-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
007223-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | MEDICARE GROUP | BA0683 | 01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | FITNESS FORUM PHYSICAL AND OCCUPATIONAL THERAPY, PLLC | 231 Walton St, Ste 200, Syracuse, Ny 13221 |
Street Address |
5719 WIDEWATERS PKWY |
City | DE WITT |
State | NY |
Zip Code | 13214-1985 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326339599 | Jill A Spinoso | Physical Therapist | 5719 Widewaters Pkwy, De Witt, NY 13214-1985 | 2011-04-22 |
1437107067 | Kristin K Parmeter | Nurse Practitioner | 5719 Widewaters Pkwy, De Witt, NY 13214-1880 | 2006-05-05 |
1992763239 | Janice A Sharkey | Nurse Practitioner | 5719 Widewaters Pkwy, De Witt, NY 13214-1880 | 2006-05-03 |
1851359343 | Donna M Widrick | Nurse Practitioner | 5719 Widewaters Pkwy, De Witt, NY 13214-1880 | 2006-05-03 |
1316904543 | Stephen C Robinson | Orthopaedic Surgery | 5719 Widewaters Pkwy, De Witt, NY 13214-1880 | 2006-05-01 |
1255398491 | Walter H Short | Orthopaedic Surgery | 5719 Widewaters Pkwy, De Witt, NY 13214-1880 | 2006-05-01 |
1396702023 | Warren E Wulff | Orthopaedic Surgery | 5719 Widewaters Pkwy, De Witt, NY 13214-1880 | 2006-04-27 |
1518924224 | I. Michael Vella | Orthopaedic Surgery | 5719 Widewaters Pkwy, De Witt, NY 13214-1880 | 2006-04-27 |
1144287749 | P James Newman | Orthopaedic Surgery | 5719 Widewaters Pkwy, De Witt, NY 13214-1880 | 2006-04-27 |
1285691139 | John F Parker | Orthopaedic Surgery | 5719 Widewaters Pkwy, De Witt, NY 13214-1880 | 2006-04-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881108983 | Nathan Fowler | Dentist | 3469 Erie Blvd E # 3a, Syracuse, NY 13214 | 2017-11-28 |
1841716875 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3649 Erie Blvd E Ste 215b, Syracuse, NY 13214 | 2017-08-22 |
1124568993 | Jose Alvarez | Dentist | 3425 Erie Blvd E Ste 1, De Witt, NY 13214 | 2017-02-27 |
1205258365 | Margaret Miller | Social Worker | 4101 E. Genesee St, Syracuse, NY 13214 | 2014-01-09 |
1124367669 | Marni Marie Millet | Counselor | 4309 E Genesee St Ste 4, Syracuse, NY 13214 | 2013-02-04 |
1477817401 | Runa Acharya | Internal Medicine | 3229 East Genesee St, Syracuse, NY 13214 | 2012-06-25 |
1487949913 | Angela Patricia Mojica Sanabria | Pediatrics | 3229 East Genesee St Ste 1, Syracuse, NY 13214 | 2011-06-13 |
1346530169 | Affinity Rehabilitation LLP | Clinic/Center | 18 Arbor Lane, Dewitt, NY 13214 | 2011-04-13 |
1003105768 | David William Hansen | Pediatrics | 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 | 2011-04-04 |
1558676411 | Jamesville-dewitt Central School District | Local Education Agency (LEA) | Edinger Drive, Dewitt, NY 13214 | 2010-08-16 |
Find all providers in zip 13214 |
Taxonomy Code | 225XH1200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
Specialization | Hand |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457958415 | Fathima Mohamed | Occupational Therapist | 209 Hooper St Apt 3, Brooklyn, NY 11211-9615 | 2020-10-02 |
1689213357 | Rhonda Reininger | Occupational Therapist | 240 E 38th St Ste 15-53, New York, NY 10016-2708 | 2019-12-30 |
1982255253 | Monika Dworakowski | Occupational Therapist | 6132 Riverdale Ave, Bronx, NY 10471-1009 | 2019-09-26 |
1306408372 | Laura Beth Lory | Occupational Therapist | 244 W 54th St Unit 404, New York, NY 10019-5597 | 2019-07-01 |
1396220778 | Chia-chen Chang | Occupational Therapist | 13620 38th Ave Ste 8a, Flushing, NY 11354-4232 | 2018-10-01 |
1043705338 | Richard Jay Russ | Occupational Therapist | 30 Merritt Ave, Massapequa, NY 11758-7931 | 2018-06-28 |
1841705498 | Hand In Hand Occupational Therapy of Li, Pllc | Occupational Therapist | 764 Middle Country Rd Ste 1, Selden, NY 11784-2503 | 2017-12-05 |
1235648395 | William L Jim | Occupational Therapist | 139 Centre St Ste 814, New York, NY 10013 | 2017-09-21 |
1922451871 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Occupational Therapist | 1160 E Jericho Tpke, Suite 123, Huntington, NY 11743-5400 | 2016-07-15 |
1316362510 | Hand Therapy New York Ot Pllc | Occupational Therapist | 20 E 35th St Lbby 1e, New York, NY 10016-3853 | 2014-02-25 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.