ANTHONY J PETRUCCI (NPI# 1508214537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508214537 |
| Entity Type | Individual |
| Full Name | ANTHONY J PETRUCCI |
| Credential | P.T. |
| Practice Address |
235 North Ave Penn Yan NY 14527-1051 |
| Mailing Address |
250 Washington St Geneva NY 14456-2708 |
| Practice Telephone | 3155367447 |
| Mailing Telephone | 3157459438 |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
021694 | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336628775 | Anthony Petrucci Iv | Chiropractor | 1954 E High St, Pottstown, PA 19464-9209 | 2018-08-07 |
| Street Address |
235 NORTH AVE |
| City | PENN YAN |
| State | NY |
| Zip Code | 14527-1051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821114760 | Jo'el Joy Mcafee | Registered Nurse | 235 North Ave, Penn Yan, NY 14527-1051 | 2007-03-22 |
| 1972157469 | Yates County Chapter Nysarc, Inc | Home Health | 235 North Ave, Penn Yan, NY 14527-1051 | 2019-08-01 |
| 1912489733 | Christopher Clinton | Counselor | 235 North Ave, Penn Yan, NY 14527-1051 | 2018-08-29 |
| 1649701152 | John William Hassett | Occupational Therapy Assistant | 235 North Ave, Penn Yan, NY 14527-1051 | 2017-03-26 |
| 1598204687 | Peggy Cummings | Registered Nurse | 235 North Ave, Penn Yan, NY 14527-1051 | 2017-02-22 |
| 1124478490 | Michael D Gleason | Psychologist | 235 North Ave, Penn Yan, NY 14527-1051 | 2016-06-17 |
| 1841648433 | Brandon Michael Jones | Social Worker | 235 North Ave, Penn Yan, NY 14527-1051 | 2016-05-25 |
| 1184079550 | Trenton Barry | Counselor | 235 North Ave, Penn Yan, NY 14527-1051 | 2016-05-04 |
| 1336593920 | Yates County Chapter, Nysarc Inc | Clinic/Center | 235 North Ave, Penn Yan, NY 14527-1051 | 2016-04-20 |
| 1255706776 | Emily Dailey | Specialist | 235 North Ave, Penn Yan, NY 14527-1051 | 2015-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523624 | Patrick James Lenney | Social Worker | 418 N. Main St, Penn Yan, NY 14527 | 2020-03-13 |
| 1568937340 | Robert D Knapp Independent At Home | Clinic/Center | 1 Keuka Business Park Suite201, Penn Yan, NY 14527 | 2018-10-09 |
| 1912241555 | Janis Michele Jepsen | Specialist | 417 Liberty Street Suite 2120, Penn Yan, NY 14527 | 2012-11-20 |
| 1316031057 | Kimberly A Newell | Nurse Anesthetist, Certified Registered | 418 North Main Street, Penn Yan, NY 14527 | 2006-10-03 |
| 1346341625 | Kathleen Gail Obrien | Nurse Practitioner | 465 North Main Street, Penn Yan, NY 14527 | 2006-09-26 |
| 1699877209 | Deborah L Casson | Nurse Practitioner | 1 Keuka Business Park, Penn Yan, NY 14527 | 2006-09-03 |
| 1205377454 | Nancy Stone | Community Health Worker | 1 Keuka Business Park, Suite 205, Penn Yan, NY 14527 | 2017-03-20 |
| 1386786895 | James L Coles Lcsw, PC | Social Worker | 1 Keuka Business Park, Penn Yan, NY 14527 | 2007-02-12 |
| 1124181094 | Sherri L Borglum | Counselor | 21 Main St, Penn Yan, NY 14527 | 2006-12-19 |
| 1033215934 | Janet Lisa Lewis | Psychiatry & Neurology | 108 Kimball Ave, Suite 1, Penn Yan, NY 14527 | 2006-09-16 |
| Find all providers in zip 14527 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639842 | Lion Physical Therapy Pllc | Clinic/Center | 2420 Jackson Ave Ste 205, Long Island City, NY 11101-4332 | 2020-11-02 |
| 1144820762 | Phoenix Physical Therapy Pllc | Clinic/Center | 337 Blaisdell Rd, Orangeburg, NY 10962-2508 | 2020-11-01 |
| 1174122808 | The Body Workshop Physical Therapy Pllc | Clinic/Center | 70 Balsam Way, Clifton Park, NY 12065-6787 | 2020-10-23 |
| 1013516012 | Laura Alexandra Kelly | Clinic/Center | 599 Knollwood Rd, White Plains, NY 10603-1918 | 2020-10-21 |
| 1982202404 | Mobility Health Physical Therapy | Clinic/Center | 10545 Avenue M, Brooklyn, NY 11236-4603 | 2020-10-16 |
| 1053919589 | Hun K Physical Therapy P.C. | Clinic/Center | 4015 81st St Apt A65, Elmhurst, NY 11373-1343 | 2020-10-16 |
| 1730786369 | Palisades Lymphedema & Oncology Physiotherapy, Rllp | Clinic/Center | 7 New Lake Rd, Valley Cottage, NY 10989-1868 | 2020-10-06 |
| 1831796713 | Quality Movement Restoration, LLC | Clinic/Center | 12027 165th St, Jamaica, NY 11434-2526 | 2020-10-05 |
| 1134726359 | John Lathrop Physical Therapy Pllc | Clinic/Center | 3152 35th St Apt 1r, Astoria, NY 11106-1546 | 2020-10-01 |
| 1720695430 | John Bianchini Pt PC | Clinic/Center | 11 N Nancy Pl, Massapequa, NY 11758-1912 | 2020-09-26 |
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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.