NYSARC INC. ONONDAGA COUNTY CHAPTER
NPI 1043397490
Clinic/Center - Developmental Disabilities in Syracuse, NY

Q: What is Nysarc Inc. Onondaga County Chapter's NPI number?

The NPI number for Nysarc Inc. Onondaga County Chapter is 1043397490. It was assigned to this organization in the NPPES registry on November 1, 2006.

Q: What is Nysarc Inc. Onondaga County Chapter's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Active since November 01, 2006

600 S WILBUR AVE, SYRACUSE, NY 13204(315) 476-7441(315) 424-6001 Get Directions Write a Review

NPPES record last updated: August 22, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Nysarc Inc. Onondaga County Chapter NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NYSARC INC. ONONDAGA COUNTY CHAPTER (NPI 1043397490) is a healthcare organization registered as a developmental disabilities in Syracuse, New York and active in the NPI registry since November 2006. The organization lists Stanfort J. Perry, Execuitive Director, as its authorized official.

NPPES Registry Identity

NPI1043397490

Entity TypeOrganization

Primary Taxonomy261QD1600X

Legal Business NameNYSARC INC. ONONDAGA COUNTY CHAPTER

Location Address600 S WILBUR AVESyracuse, NY 13204-2730

Mailing Address600 S Wilbur AveSyracuse, NY 13204-2730 · (315) 476-7441 · Fax (315) 424-6001

Phone(315) 476-7441

Fax(315) 424-6001

Organization SubpartNo

Authorized OfficialStanfort J. PerryExecuitive Director · (315) 476-7441

Enumeration DateNovember 1, 2006

Last NPPES UpdateAugust 22, 2007

✔ NPI 1043397490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities

Taxonomy Code261QD1600X

Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

600 S WILBUR AVE, Syracuse, NY 13204

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Other Identifiers 4

Medicaid01474799NY

Medicaid00560238NY

Medicare ID-Type Unspecified54793ANY · Horizons Clinic

Medicaid01162096NY

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nysarc Inc. Onondaga County Chapter is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 20 clinicians reassign Medicare billing to Nysarc Inc. Onondaga County Chapter, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Physical Therapist in Private Practice6

Occupational Therapist in Private Practice5

Clinical Social Worker3

Qualified Speech Language Pathologist3

Clinical Psychologist2

Emergency Medicine1

Clinicians, nearest first (20)

Kimberly Gachette, LCSW

Clinical Social Worker

NPI 1538630561

600 S WILBUR AVE
Syracuse, NY 13204

(315) 498-1399

✔ PECOS✔ Accepts MedicareSame address

Sheila Odonnell, LCSW

Clinical Social Worker

NPI 1992833123

600 S WILBUR AVE
Syracuse, NY 13204

(315) 476-7441

✔ PECOS✔ Accepts MedicareSame address

Oxana Panol, LCSW

Clinical Social Worker

NPI 1184154403

600 S WILBUR AVE
Syracuse, NY 13204

(315) 476-7441

✔ PECOS✔ Accepts MedicareSame address

Joseph Himmelsbach, PHD

Clinical Psychologist

NPI 1912078023

109 S WARREN ST SUITE 920
Syracuse, NY 13202

(315) 471-0168

✔ PECOS✔ Accepts Medicare1.4 mi

John Skopek, MD

Emergency Medicine

NPI 1265439533

736 IRVING AVE
Syracuse, NY 13210

(315) 470-7411

✔ PECOS1.9 mi

Ann Shipman

Occupational Therapist in Private Practice

NPI 1922258524

7041 MANLIUS CENTER RD.
East Syracuse, NY 13206

(315) 579-5610

✔ Accepts Medicare7.3 mi

Mallory Ott, DPT

Physical Therapist in Private Practice

NPI 1457186819

37 W GARDEN ST STE 103
Auburn, NY 13021

(315) 800-0030

✔ Accepts Medicare21 mi

Amanda Sweet, PSY.D.

Clinical Psychologist

NPI 1992120430

22670 SUMMIT DR STE B
Watertown, NY 13601

(315) 788-3332

✔ PECOS✔ Accepts Medicare64 mi

Brianna Dather, OTR/L

Occupational Therapist in Private Practice

NPI 1881227536

380 GAFFNEY DR
Watertown, NY 13601

(315) 788-2730

✔ Accepts Medicare66 mi

Ashley Dobmeier-Burke, MS OTR/L

Occupational Therapist in Private Practice

NPI 1831751221

420 GAFFNEY DR
Watertown, NY 13601

(315) 286-9850

✔ Accepts Medicare66 mi

Danielle Shirkey, MS CCC SLP

Qualified Speech Language Pathologist

NPI 1306143961

420 GAFFNEY DR
Watertown, NY 13601

(315) 836-1283

✔ Accepts Medicare66 mi

Riley Thomas, M.A., CCC-SLP

Qualified Speech Language Pathologist

NPI 1316671399

420 GAFFNEY DR
Watertown, NY 13601

(315) 788-2730

66 mi

Nicole Koster, PT, DPT

Physical Therapist in Private Practice

NPI 1982932414

420 GAFFNEY DRIVE
Watertown, NY 13601

(315) 788-2730

✔ Accepts Medicare66 mi

Mackenzie Scott, PT, DPT

Physical Therapist in Private Practice

NPI 1265782478

420 GAFFNEY DRIVE
Watertown, NY 13601

(315) 788-2730

✔ Accepts Medicare66 mi

Maraya Vanbrocklin, OTR/L

Occupational Therapist in Private Practice

NPI 1144780529

453 GAFFNEY DR
Watertown, NY 13601

(315) 836-1227

✔ Accepts Medicare66 mi

Mary Harris, OTR

Occupational Therapist in Private Practice

NPI 1700143146

140 COUNTY HIGHWAY 33W SUITE 3
Cooperstown, NY 13326

(607) 547-6474

✔ Accepts Medicare68 mi

Leo Delacruz

Physical Therapist in Private Practice

NPI 1457298747

117 N SCHOOL ST APT 2
Carthage, NY 13619

(680) 867-0797

✔ Accepts Medicare71 mi

Jennifer Snyder, PT

Physical Therapist in Private Practice

NPI 1467110403

80 E MAIN ST
Canton, NY 13617

(315) 261-5490

✔ Accepts Medicare118 mi

Andrew Hockenbery

Qualified Speech Language Pathologist

NPI 1972946705

221 HAMILTON ST
Ogdensburg, NY 13669

(315) 530-0911

✔ Accepts Medicare119 mi

Patricia Sawchuck, PT, DPT

Physical Therapist in Private Practice

NPI 1366196974

1905 ATHERHOLT RD
Lynchburg, VA 24501

(434) 200-4200

✔ Accepts Medicare419 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nysarc Inc. Onondaga County Chapter's NPI number?

The NPI number for Nysarc Inc. Onondaga County Chapter is 1043397490. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Nysarc Inc. Onondaga County Chapter located?

Nysarc Inc. Onondaga County Chapter is located at 600 S Wilbur Ave, Syracuse, NY 13204. The listed phone number is (315) 476-7441.

What is Nysarc Inc. Onondaga County Chapter's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Is Nysarc Inc. Onondaga County Chapter enrolled in Medicare?

Yes. Nysarc Inc. Onondaga County Chapter is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nysarc Inc. Onondaga County Chapter?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 6 Medicare specialties reassign their Medicare billing to Nysarc Inc. Onondaga County Chapter. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (6), Occupational Therapist in Private Practice (5) and Clinical Social Worker (3). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nysarc Inc. Onondaga County Chapter was last updated on August 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.