Individual provider Active NPI

Loran Lee Barkley, DPT

  • Physical Therapist
  • Honeoye Falls, NY
National Provider Identifier
1003413360
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
047121-01 Issued in NY
Practice address
58 N Main St Ste 200
Honeoye Falls, NY 14472-1076
Phone
(585) 582-0034
Fax
(585) 582-0026
NPI assigned
Oct 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P19755 NC
Physical Therapist 225100000X 047121-01 NY Primary

Addresses

Primary practice location

58 N Main St Ste 200
Honeoye Falls, NY 14472-1076

Mailing address

58 N Main St Ste 200
Honeoye Falls, NY 14472-1076
Phone (585) 582-0034

Other names 1

  • Loran Lee Fleischman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230307000336 NY Practitioner - Physical Therapist in Private Practice 6800269127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shuman Physical Therapy Associates PCGroup PAC ID 6709869209, 142 clinicians

Practice addresses (Care Compare)

58 N Main St
Suite 200
Honeoye Falls, NY 14472-1076
Phone (585) 582-0034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P19755NCMDPhysical Therapist
047121-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shuman Physical Therapy Associates, P.C. Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients
Ot4 Kids, Inc Physical Therapist PastSince Oct 1, 2020 Accepting new patients
Ot4Kids, Inc. PastSince Oct 1, 2020 Accepting new patients

Locations

58 N Main St
Ste 200
Honeoye Falls, NY 14472
Phone (585) 582-0034

1655 Elmwood Ave
Ste 130
Rochester, NY 14620
Phone (585) 442-9110

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1003413360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 N MAIN ST STE 200",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "144721076",
            "telephone_number": "585-582-0034",
            "fax_number": "585-582-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 N MAIN ST STE 200",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "144721076",
            "telephone_number": "585-582-0034",
            "fax_number": "585-582-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKLEY",
        "first_name": "LORAN",
        "middle_name": "LEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19755",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047121-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORAN",
            "last_name": "FLEISCHMAN",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honeoye Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.