Sports Physical Therapy Of New York, P.c. - Medicare Physical Therapist in Manlius, NY

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Sports Physical Therapy Of New York, P.c. is a medicare enrolled "Physical Therapist" provider in Manlius, New York. Their current practice location is 240 W Seneca St Ste 12, Manlius, New York. You can reach out to their office (for appointments etc.) via phone at (315) 682-0325.

Sports Physical Therapy Of New York, P.c. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Sports Physical Therapy Of New York, P.c. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1912950072.

Contact Information

Sports Physical Therapy Of New York, P.c.
240 W Seneca St Ste 12,
Manlius, NY 13104-2422
(315) 682-0325
(315) 682-0295

Map and Direction




Healthcare Provider's Profile

Full NameSports Physical Therapy Of New York, P.c.
TypeFacility
SpecialityPhysical Therapist
Location240 W Seneca St Ste 12, Manlius, New York
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912950072
  • Provider Enumeration Date: 05/18/2006
  • Last Update Date: 09/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4284531674
  • Enrollment ID: O20150203001143

Medical Identifiers

Medical identifiers for Sports Physical Therapy Of New York, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912950072NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Sports Physical Therapy Of New York, P.c. acts as a billing entity for following providers:
Provider NameChad M Pens
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164410221
PECOS PAC ID: 8921042672
Enrollment ID: I20050614000985
Provider NameJames C Fisher
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255392965
PECOS PAC ID: 1759301245
Enrollment ID: I20051129000749
Provider NameTeresa A Lindell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417063934
PECOS PAC ID: 8426054727
Enrollment ID: I20061010000395
Provider NameErik J Nassif
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457551335
PECOS PAC ID: 8426144288
Enrollment ID: I20071010000337
Provider NameLynn B Steenberg
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659328946
PECOS PAC ID: 2264339662
Enrollment ID: I20071026000586
Provider NameJustin M Murray
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578755724
PECOS PAC ID: 9234227711
Enrollment ID: I20071116000301
Provider NameMarissa N Rocci Armstrong
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235314568
PECOS PAC ID: 4789760190
Enrollment ID: I20080326000305
Provider NameKenneth D Rescott
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073505087
PECOS PAC ID: 5092992552
Enrollment ID: I20110609000261
Provider NameAlana Gorman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710228275
PECOS PAC ID: 6608017009
Enrollment ID: I20130729000024
Provider NameChristine C Viola
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790981306
PECOS PAC ID: 8820183049
Enrollment ID: I20130920000034
Provider NameRebecca Mason
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154754042
PECOS PAC ID: 7618103078
Enrollment ID: I20131114000178
Provider NameKimberly A Attwood
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205261047
PECOS PAC ID: 8820225618
Enrollment ID: I20131227000686
Provider NameKristin M Cappelli
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639237415
PECOS PAC ID: 5496986309
Enrollment ID: I20140318000838
Provider NameShane M Cherico
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881024438
PECOS PAC ID: 6305063686
Enrollment ID: I20140811000401
Provider NameJudy Spilka
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811391618
PECOS PAC ID: 0941522858
Enrollment ID: I20141204000193
Provider NameAmber M Thornton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093115685
PECOS PAC ID: 5496078784
Enrollment ID: I20141217001178
Provider NameMatthew Costello
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548661747
PECOS PAC ID: 7618291055
Enrollment ID: I20150113002181
Provider NameSamantha G Lawrence
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902205891
PECOS PAC ID: 1759602394
Enrollment ID: I20150608001115
Provider NameChad M Lachance
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841666872
PECOS PAC ID: 3577860113
Enrollment ID: I20160328001105
Provider NameIsaac Robert Virag
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952858003
PECOS PAC ID: 6800174012
Enrollment ID: I20161022000018
Provider NameJennifer M Kean
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649797788
PECOS PAC ID: 3072887124
Enrollment ID: I20170928000327
Provider NameMaria K Shepherd
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245668003
PECOS PAC ID: 5890053250
Enrollment ID: I20171213002163
Provider NameZachary Cole
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306315668
PECOS PAC ID: 9436493400
Enrollment ID: I20181201000059
Provider NameAlexander J. Baldwin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285114488
PECOS PAC ID: 4880933902
Enrollment ID: I20190306002440
Provider NameCasey Jackson Calabrese
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093295537
PECOS PAC ID: 2860734191
Enrollment ID: I20190507000244
Provider NameMonica E Zeisz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679116719
PECOS PAC ID: 3971938861
Enrollment ID: I20200123001134
Provider NameMeghan O Haus
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699064956
PECOS PAC ID: 2769660687
Enrollment ID: I20200421002202
Provider NameEmily M Lash
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700329034
PECOS PAC ID: 9436432200
Enrollment ID: I20200429001174
Provider NameKatherine Beth Myers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972946721
PECOS PAC ID: 2264667567
Enrollment ID: I20200515001205
Provider NameKerri Elizabeth Laurenza
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326646084
PECOS PAC ID: 5294146049
Enrollment ID: I20201130001236
Provider NameMitchell P Morgan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902405491
PECOS PAC ID: 0547674921
Enrollment ID: I20210126001357
Provider NameJill Hanson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710567219
PECOS PAC ID: 1456769371
Enrollment ID: I20210507000517
Provider NameJonathon Dipasquale
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417528407
PECOS PAC ID: 1850794819
Enrollment ID: I20210728002014
Provider NameAlexis Mack
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649845454
PECOS PAC ID: 2062819535
Enrollment ID: I20210927000478
Provider NameCarleigh Ann Rosenberg
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306443635
PECOS PAC ID: 7012303514
Enrollment ID: I20220411000428
Provider NameNathaniel Ripic
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437791340
PECOS PAC ID: 4082945290
Enrollment ID: I20220419001075
Provider NameTracey M Rugari
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063140960
PECOS PAC ID: 0941684088
Enrollment ID: I20220908002330
Provider NameYasmeen Elhalaby
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376282988
PECOS PAC ID: 7618352667
Enrollment ID: I20220913000132
Provider NameJoseph S Facciolo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881312262
PECOS PAC ID: 3971979113
Enrollment ID: I20221013001182
Provider NameEricka Taplin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518683796
PECOS PAC ID: 9032586706
Enrollment ID: I20221109001678
Provider NameBenjamin David Ulrich
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902544273
PECOS PAC ID: 6406224526
Enrollment ID: I20221122000374
Provider NameAndrea Newland
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255040085
PECOS PAC ID: 3274903620
Enrollment ID: I20221230000927
Provider NameMichael Miller
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053023739
PECOS PAC ID: 6608247440
Enrollment ID: I20230113002025
Provider NameAustin Mark Mizell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508562844
PECOS PAC ID: 3072987130
Enrollment ID: I20230314000172
Provider NameMeghan Macri
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528673852
PECOS PAC ID: 3577924315
Enrollment ID: I20230726003486
Provider NameNicole Renee Mallicoat
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528841293
PECOS PAC ID: 2062876972
Enrollment ID: I20230912000107
Provider NameLauren M Sherman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912786427
PECOS PAC ID: 5698120251
Enrollment ID: I20231017002425
Provider NameHaleigh Michaud
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821865973
PECOS PAC ID: 5193174209
Enrollment ID: I20231214003415
Provider NameKaelan Kowalick
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629846084
PECOS PAC ID: 1052762986
Enrollment ID: I20240104003894
Provider NameKathryn Missert
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710761374
PECOS PAC ID: 2769833466
Enrollment ID: I20240108000147
Provider NameSteven Procopio
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396515987
PECOS PAC ID: 7113379058
Enrollment ID: I20240117000397
Provider NameCarrington Hessell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750146916
PECOS PAC ID: 8325483217
Enrollment ID: I20240301001418

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sports Physical Therapy Of New York, P.c. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sports Physical Therapy Of New York, P.c.
703 Granite St Ste 3,
Braintree, MA 02184-5350

Ph: (781) 961-3370		Sports Physical Therapy Of New York, P.c.
240 W Seneca St Ste 12,
Manlius, NY 13104-2422

Ph: (315) 682-0325

Reviews and Comments


Physical Therapist in Manlius, NY

Youssef Boles,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 8091 Wild Lemon Ln, Manlius, NY 13104
Phone: 315-450-0371    
Damond P Archung, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 105 W Seneca St, Manlius, NY 13104
Phone: 315-682-3387    
Mrs. Susan Marie Demas, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8427 Woodbox Rd, Manlius, NY 13104
Phone: 315-345-8652    
Mr. Wayne W. Rath, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 115 Fairgrounds Drive, Suite 2, Manlius, NY 13104
Phone: 315-682-3387    Fax: 315-682-3392
Charlotte Giovanna Ennis, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 240 W Seneca St, Manlius, NY 13104
Phone: 315-682-0325    
Steven Procopio, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 240 W Seneca St, Manlius, NY 13104
Phone: 315-682-0325    Fax: 315-682-0295
Travis English Macrides, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 8214 Verbeck Dr, Manlius, NY 13104
Phone: 315-399-9892    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.