ORTHOPEDIC & SPORTS PHYSICAL THERAPY, LLC
NPI 1073678447
Physical Therapist in Cicero, NY

Active since December 26, 2006
5586 LEGIONNAIRE DR, SUITE 6, CICERO, NY 13039(315) 698-9353(315) 698-4463 Get Directions Write a Review

NPPES record last updated: January 25, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Orthopedic & Sports Physical Therapy, Llc NPPES

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

ORTHOPEDIC & SPORTS PHYSICAL THERAPY, LLC (NPI 1073678447) is a healthcare organization registered as a physical therapist in Cicero, New York and active in the NPI registry since December 2006. The organization lists Cole David Taylor, P.t.owner, as its authorized official.

NPPES Registry Identity

NPI1073678447
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameORTHOPEDIC & SPORTS PHYSICAL THERAPY, LLC
Location Address5586 LEGIONNAIRE DR, SUITE 6Cicero, NY 13039-3504
Mailing Address5586 Legionnaire Dr, Suite 6Cicero, NY 13039-3504 · (315) 698-9353 · Fax (315) 698-4463
Fax(315) 698-4463
Organization SubpartNo
Authorized OfficialCole David TaylorP.t.owner · (315) 698-9353
Enumeration DateDecember 26, 2006
Last NPPES UpdateJanuary 25, 2012
✔ NPI 1073678447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NY · 012257-1
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
5586 LEGIONNAIRE DR, Cicero, NY 13039

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Orthopedic & Sports Physical Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20120228000098Non-DME Part B · Physical/Occupational Therapy Group in Private PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Orthopedic & Sports Physical Therapy, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1457391054
5586 LEGIONNAIRE DR SUITE 6
Cicero, NY 13039
(315) 698-9353
✔ Accepts MedicareSame address

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 Orthopedic & Sports Physical Therapy, LLC's NPI number?

The NPI number for Orthopedic & Sports Physical Therapy, LLC is 1073678447. It was assigned to this organization in the NPPES registry on December 26, 2006.

Where is Orthopedic & Sports Physical Therapy, LLC located?

Orthopedic & Sports Physical Therapy, LLC is located at 5586 Legionnaire Dr Suite 6, Cicero, NY 13039. The listed phone number is (315) 698-9353.

What is Orthopedic & Sports Physical Therapy, LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Orthopedic & Sports Physical Therapy, LLC enrolled in Medicare?

Yes. Orthopedic & Sports Physical Therapy, LLC is registered in the Medicare PECOS enrollment system.

When is Orthopedic & Sports Physical Therapy, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Orthopedic & Sports Physical Therapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Orthopedic & Sports Physical Therapy, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Orthopedic & Sports Physical Therapy, LLC was last updated on January 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.