Primary Physical Therapy Pllc
Primary Physical Therapy Pllc is a healthcare organization registered as Physical Therapist in Waterville, NY, holding Type 2 (organization) NPI 1063735678 since 2010. The authorized official on file is Jeffrey Hathaway, Owner/Pt.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063735678 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Primary Physical Therapy Pllc |
| Other name | <Unavail> |
| Practice address | 358 MADISON ST, Waterville, NY, 13480 |
| Phone | 3158413222 |
| Fax | 3158414023 |
| Enumeration date | 2010-03-10 |
| Last updated in NPPES | 2010-07-01 |
Authorized official
| Name | Jeffrey Hathaway |
|---|---|
| Title | Owner/Pt |
| Phone | 3154516541 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225100000X | Physical Therapist | Primary | — | — |
Copy-ready billing details
Provider: Primary Physical Therapy Pllc NPI: 1063735678 Taxonomy: 225100000X (Physical Therapist) Address: 358 MADISON ST, Waterville, NY, 13480
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1053384354 | Michael Cash | Individual | Physical Therapist | Waterville, NY |
| 1912970567 | Sean Hopkins | Individual | Physical Therapist | Waterville, NY |
| 1043303761 | Nannette Cowen | Individual | Nurse Practitioner | Waterville, NY |
| 1235426495 | Dionne Beach | Individual | Physical Therapist | Waterville, NY |
| 1053851154 | Adam Ryan | Individual | Physical Therapist | Waterville, NY |
| 1770078495 | Nicole Schreck-Mathias | Individual | Family Nurse Practitioner | Waterville, NY |
| 1942854401 | Lara Belfiore | Individual | Family Nurse Practitioner | Waterville, NY |
| 1619671385 | Saraya Bakhsh | Individual | Physician Assistant | Waterville, NY |
Verify this record
Cross-check NPI 1063735678 against the authoritative CMS record: view Primary Physical Therapy Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Primary Physical Therapy Pllc?
Who is the authorized official for Primary Physical Therapy Pllc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-07-01.