FITNESS FORUM PHYSICAL AND OCCUPATIONAL THERAPY, PLLC


Address: 5719 Widewaters Pkwy, De Witt, NY 13214-1985
Phone: 3154780380

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NY MEDICARE GROUP BA0683 01

Other Data Sources

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

Office Location

Street Address 5719 WIDEWATERS PKWY
City DE WITT
State NY
Zip Code 13214-1985

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 225XH1200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Hand

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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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Competitor

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City DE WITT
Zip Code 13214

Improve Information

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Dataset Information

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.

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