FITNESS FORUM PHYSICAL AND OCCUPATIONAL THERAPY, PLLC
NPI 1700170545
Occupational Therapist - Hand in De Witt, NY

Active since June 08, 2011
5719 WIDEWATERS PKWY, DE WITT, NY 13214(315) 478-0380(315) 478-0388 Get Directions Write a Review

NPPES record last updated: July 12, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fitness Forum Physical And Occupational Therapy, Pllc NPPES

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

FITNESS FORUM PHYSICAL AND OCCUPATIONAL THERAPY, PLLC (NPI 1700170545) is a healthcare organization registered as a hand in De Witt, New York and active in the NPI registry since June 2011. The organization lists Michael L Linkiewicz, President, as its authorized official.

NPPES Registry Identity

NPI1700170545
Entity TypeOrganization
Primary Taxonomy225XH1200X
Legal Business NameFITNESS FORUM PHYSICAL AND OCCUPATIONAL THERAPY, PLLC
Location Address5719 WIDEWATERS PKWYDe Witt, NY 13214-1985
Mailing Address231 Walton St, Suite 200Syracuse, NY 13202-1885 · (315) 478-0380 · Fax (315) 478-0388
Fax(315) 478-0388
Organization SubpartNo
Authorized OfficialMichael L LinkiewiczPresident · (315) 478-0380
Enumeration DateJune 8, 2011
Last NPPES UpdateJuly 12, 2011
✔ NPI 1700170545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOccupational Therapist · HandRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XH1200X
License✔ Licensed in NY · 007223-1
Also ListedPhysical TherapistTaxonomy 225100000X · License 011796-1 (NY)
5719 WIDEWATERS PKWY, De Witt, NY 13214

Other Identifiers 1

OtherBA0683NY · Medicare Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Physical Therapist
5719 WIDEWATERS PKWY
DE WITT, NY 13214
Physician Assistant (Surgical)
5719 WIDEWATERS PKWY
SYRACUSE, NY 13214
Physician Assistant
5719 WIDEWATERS PKWY
SYRACUSE, NY 13214
Orthopaedic Surgery (Sports Medicine)
5719 WIDEWATERS PKWY
SYRACUSE, NY 13214
Nurse Practitioner (Adult Health)
5719 WIDEWATERS PKWY
SYRACUSE, NY 13214
Specialist/Technologist (Athletic Trainer)
5719 WIDEWATERS PKWY
SYRACUSE, NY 13214
Orthopaedic Surgery
5719 WIDEWATERS PKWY
DE WITT, NY 13214
Occupational Therapist
5719 WIDEWATERS PKWY
DE WITT, NY 13214

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 Fitness Forum Physical And Occupational Therapy, PLLC's NPI number?

The NPI number for Fitness Forum Physical And Occupational Therapy, PLLC is 1700170545. It was assigned to this organization in the NPPES registry on June 8, 2011.

Where is Fitness Forum Physical And Occupational Therapy, PLLC located?

Fitness Forum Physical And Occupational Therapy, PLLC is located at 5719 Widewaters Pkwy, De Witt, NY 13214. The listed phone number is (315) 478-0380.

What is Fitness Forum Physical And Occupational Therapy, PLLC's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Hand, with taxonomy code 225XH1200X.

When was this NPI record last updated?

The NPPES record for Fitness Forum Physical And Occupational Therapy, PLLC was last updated on July 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.