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PETERSON & NELLIS PHYSICAL THERAPY PC NPI 1033291802


NPI Information

NPI: 1033291802
Provider Name: PETERSON & NELLIS PHYSICAL THERAPY PC

Doing Business As: PHYSICAL THERAPY PLUS

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
207 PINE ST
SYRACUSE, NY
ZIP 13210
Phone: (315) 476-3176
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PETERSON & NELLIS PHYSICAL THERAPY PC is a specialist in Syracuse, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PETERSON & NELLIS PHYSICAL THERAPY PC NPI is 1033291802. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Physical Therapy Plus.

The provider's business location address is:

207 PINE ST
SYRACUSE, NY
ZIP 13210-137
Phone: (315) 476-3176
Fax: (315) 476-0171

The provider's authorized official is James B Rosier .
The authorized official title is Executive Director and has the following contact phone number (315) 476-3176.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 7/30/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist=========NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1R55750MEDICARE UPINNEW YORK
2S83109MEDICARE UPINNEW YORK
3R57009MEDICARE UPINNEW YORK
4RA8213MEDICARE UPINNEW YORK
5S83106MEDICARE UPINNEW YORK
6S83110MEDICARE UPINNEW YORK
7BB5524MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
81261560001MEDICARE NSCNEW YORK
9R57010MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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