Primary Physical Therapy PLLC
NPI 1164745774 · Physical Therapist · North Syracuse, NY
Primary Physical Therapy PLLC is a Physical Therapist organization in North Syracuse, NY (NPI 1164745774).
Provider details
- NPI number
- 1164745774
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Hathaway, Owner/Pt(315) 451-6541
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Proactive Physical Therapy
Registry dates
- Enumerated
- 2010-03-10
- Last updated
- 2010-07-01
Frequently asked questions
- What is Primary Physical Therapy PLLC's NPI number?
- Primary Physical Therapy PLLC's National Provider Identifier (NPI) is 1164745774, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Primary Physical Therapy PLLC?
- Primary Physical Therapy PLLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Primary Physical Therapy PLLC located?
- Primary Physical Therapy PLLC's practice location on file with NPPES is 792 N Main St, North Syracuse, NY 13212-1644.
- What is Primary Physical Therapy PLLC's phone number?
- The practice phone number listed in the NPPES registry for Primary Physical Therapy PLLC is (315) 458-2552.
- Who is the authorized official for Primary Physical Therapy PLLC?
- The authorized official listed on Primary Physical Therapy PLLC's NPPES record is Jeffrey Hathaway, Owner/Pt. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Primary Physical Therapy PLLC's NPI active?
- Yes — Primary Physical Therapy PLLC's NPI (1164745774) is active in the NPPES registry as of the last update on 2010-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.