Organization Active NPI

Canandaigua Physical Therapy P.C.

  • Physical Therapist
  • Canandaigua, NY
National Provider Identifier
1083169452
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CANANDAIGUA PHYSICAL THERAPY P.C.
Practice address
229 Parrish St
Suite 220
Canandaigua, NY 14424-1791
Phone
(585) 394-3920
Fax
(585) 394-3997
NPI assigned
Aug 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Authorized official

Name
John Shuman, PT
Title
Owner
Phone
(585) 315-2339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

229 Parrish St
Suite 220
Canandaigua, NY 14424-1791

Mailing address

PO Box 699
Mendon, NY 14506-0699
Phone (585) 582-6085

Other names 1

  • Lattimore of Canandaigua PT Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1083169452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "city": "MENDON",
            "state": "NY",
            "postal_code": "145060699",
            "telephone_number": "585-582-6085",
            "fax_number": "844-638-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 PARRISH ST",
            "address_2": "SUITE 220",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241791",
            "telephone_number": "585-394-3920",
            "fax_number": "585-394-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANANDAIGUA PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "SHUMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-315-2339",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lattimore of Canandaigua PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canandaigua, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.