JAMES F PEMBERTON P.T.
NPI 1417925108
Specialist in Watertown, NY

Q: What is James Pemberton's NPI number?

The NPI number for James Pemberton is 1417925108. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Q: What is James Pemberton's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for James Pemberton was last updated on July 8, 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.

Active since March 09, 2006

19472 US ROUTE 11, WATERTOWN, NY 13601(315) 782-6126(315) 782-3816 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About James F Pemberton P.t. NPPES

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

JAMES F PEMBERTON P.T. (NPI 1417925108) is an individual specialist in Watertown, New York, licensed in New York (003804-1) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1417925108

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameJAMES F PEMBERTONCredential: P.T.

Location Address19472 US ROUTE 11Watertown, NY 13601-5387

Mailing Address19472 Us Route 11Watertown, NY 13601-5387 · (315) 782-6126 · Fax (315) 782-3816

Phone(315) 782-6126

Fax(315) 782-3816

Sole ProprietorNo

Enumeration DateMarch 9, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1417925108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 003804-1

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

19472 US ROUTE 11, Watertown, NY 13601

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Other Identifiers 1

Medicare ID-Type UnspecifiedBB6621NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James F Pemberton P.t. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show James Pemberton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cani Pt Ot Slp & Psychology PLLC

Same address

Specialist

19472 US ROUTE 11
Watertown, NY 13601

Reassigned Medicare billing, New York enrollment
11 clinicians in this Medicare group

NPI 1114065174 (315) 782-6126

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

64 services21 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

13%31 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. PAUL S CURTIS MD

Specialist