PRIMARY PHYSICAL THERAPY PLLC (NPI# 1891060885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891060885 |
| Entity Type | Organization |
| Organization Name | PRIMARY PHYSICAL THERAPY PLLC |
| Other Organization Name | PROACTIVE PHYSICAL THERAPY |
| Practice Address |
1522 Old Burrstone Rd Utica NY 13502-4804 |
| Mailing Address |
792 N Main St Ste D North Syracuse NY 13212-1644 |
| Practice Telephone | 3158413222 |
| Practice Fax Number | 3158414023 |
| Mailing Telephone | 3154582552 |
| Mailing Fax Number | 3154582575 |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-03-09 |
| Authorized Official Name | JEFFREY W HATHAWAY (OWNER) |
| Authorized Official Telephone | 3154582552 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| PROActive Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063735678 | Primary Physical Therapy Pllc | Physical Therapist | 358 Madison St, Waterville, NY 13480-1116 | 2010-03-10 |
| 1164745774 | Primary Physical Therapy Pllc | Physical Therapist | 792 N Main St, Ste 100c, North Syracuse, NY 13212-1644 | 2010-03-10 |
| 1598088106 | Primary Physical Therapy Pllc | Physical Therapist | 1259 Fisher Ave, Cortland, NY 13045-1012 | 2010-03-10 |
| Street Address |
1522 OLD BURRSTONE RD |
| City | UTICA |
| State | NY |
| Zip Code | 13502-4804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366533184 | Scott W Beattie | Obstetrics & Gynecology | 1522 Old Burrstone Rd, Utica, NY 13502-4804 | 2006-09-27 |
| 1407016892 | Jennifer Lani Schwab | Obstetrics & Gynecology | 1522 Old Burrstone Rd, Utica, NY 13502-4804 | 2008-06-10 |
| 1306025960 | Amy L.m. Roberson | Physician Assistant | 1522 Old Burrstone Rd, Utica, NY 13502-4804 | 2007-10-31 |
| 1629103668 | Medical Arts Ob-gyn, PC | Obstetrics & Gynecology | 1522 Old Burrstone Rd, Utica, NY 13502-4854 | 2007-02-22 |
| 1770657587 | Brian Bartholomew Hearn | Obstetrics & Gynecology | 1522 Old Burrstone Rd, Utica, NY 13502-4804 | 2006-11-20 |
| 1073601811 | Mark A Godecki | Obstetrics & Gynecology | 1522 Old Burrstone Rd, Utica, NY 13502-4854 | 2006-10-10 |
| 1154412583 | Marc A Feiner | Obstetrics & Gynecology | 1522 Old Burrstone Rd, Utica, NY 13502-4854 | 2006-09-28 |
| 1508957291 | James R Tichenor Jr. | Obstetrics & Gynecology | 1522 Old Burrstone Rd, Utica, NY 13502-4804 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1922635002 | Beth Ann Laporte | Social Worker | Drn Counseling & Consulting Services, 2621 Genesee Street, Utica, NY 13502 | 2020-03-26 |
| 1689216038 | Mary Ann Stockhauser | Dietitian, Registered | 917 Newport Rd, Utica, NY 13502 | 2019-10-16 |
| 1538659719 | Brenda Ann Cruse-malone | Social Worker | Mohawk Valley Psychiatric Center, Community Services Building 1400 Noyes St, Utica, NY 13502 | 2018-05-14 |
| 1184138265 | Genesee Street Medical Health | Psychiatry & Neurology | 286 Genesee St Ste 5, Utica, NY 13502 | 2017-11-28 |
| 1518470244 | Jeff Rohacek | Counselor | 1213 Court St., Suite 100, Utica, NY 13502 | 2017-11-16 |
| 1275044281 | Adam C Schwartz | Counselor | 122 Business Park Drive, Suite 1, Utica, NY 13502 | 2017-10-17 |
| 1346767175 | Jordynn Lynn Lee | Licensed Practical Nurse | 910 Mildred Ave, Utica, NY 13502 | 2017-08-23 |
| 1942751391 | Amanda Karla | Counselor | 502 Court Street Suite 210, Utica, NY 13502 | 2016-10-20 |
| 1407229974 | Hayley Hunt | Physician Assistant | 1658 Champlin Ave, Suite 335, Utica, NY 13502 | 2015-11-05 |
| Find all providers in zip 13502 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114531498 | Sheila Marie Ramos | Physical Therapist | 11709 Squiers Blvd, Utica, MI 48315-5935 | 2020-09-03 |
| 1760851018 | Clare Sheldon | Physical Therapist | 600 Culver Ave, Utica, NY 13501-2015 | 2015-09-16 |
| 1841683547 | Alex Borja | Physical Therapist | 8243 Hall Rd, Suite 202, Utica, MI 48317-5504 | 2015-03-05 |
| 1538571559 | Semin Vukovic | Physical Therapist | 1159 Conkling Ave, Utica, NY 13501-4031 | 2014-05-26 |
| 1083053557 | Hemal Madhusudan Bhagat | Physical Therapist | 11685 Squiers Blvd, Utica, MI 48315-5936 | 2013-06-18 |
| 1588910475 | Kelsey J. Kelleher | Physical Therapist | 1020 Mary Street, Utica, NY 13501 | 2012-07-28 |
| 1326324146 | Robert J. Bryla | Physical Therapist | 1912 Sunset Ave., Utica, NY 13502 | 2011-10-25 |
| 1730403981 | Vamsi Krishna Panati | Physical Therapist | 45628 Van Dyke Ave, Utica, MI 48317-5366 | 2010-03-17 |
| 1215263033 | Alicia Ann Rials | Physical Therapist | 6077 Highway 18, Utica, MS 39175-9341 | 2009-10-29 |
| 1922215516 | Kyle Patrick Castle | Physical Therapist | 2516 Genesee St, Utica, NY 13502 | 2007-05-16 |
| Find all providers in UTICA | ||||
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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.