SOUTH JEFFERSON PHYSICAL THERAPY PC
NPI 1407930829
Clinic/Center - Physical Therapy in Adams, NY
About South Jefferson Physical Therapy Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH JEFFERSON PHYSICAL THERAPY PC (NPI 1407930829) is a healthcare organization registered as a physical therapy in Adams, New York and active in the NPI registry since October 2006. The organization maintains a secondary practice location in Clayton and lists Heather Ann Miller, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Group Practice 1
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)
South Jefferson Physical Therapy Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
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.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to South Jefferson Physical Therapy PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 South Jefferson Physical Therapy PC's NPI number?
The NPI number for South Jefferson Physical Therapy PC is 1407930829. It was assigned to this organization in the NPPES registry on October 24, 2006.
Where is South Jefferson Physical Therapy PC located?
South Jefferson Physical Therapy PC is located at 70 N Main St, Adams, NY 13605. The listed phone number is (315) 232-2225.
What is South Jefferson Physical Therapy PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is South Jefferson Physical Therapy PC enrolled in Medicare?
Yes. South Jefferson Physical Therapy PC is registered in the Medicare PECOS enrollment system.
When is South Jefferson Physical Therapy PC'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 December 31, 2026. 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 South Jefferson Physical Therapy PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to South Jefferson Physical Therapy PC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for South Jefferson Physical Therapy PC was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# South Jefferson Physical Therapy Pc · NPI 1407930829
Physical Therapy organization in Adams, New York. Organization record, active in the CMS NPPES registry since October 24, 2006.
## Identity
- **NPI:** 1407930829 (Entity type: Organization)
- **Enumerated:** October 24, 2006
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Heather Miller, OWNER
## Practice location
- **Address:** 70 N MAIN ST, Adams, NY 13605-3102
- **Phone:** (315) 232-2225 · **Fax:** (315) 232-2800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, New York, Physical/Occupational Therapy Group in Private Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1407930829) · Data from the CMS NPPES public registry.