Individual provider Active NPI

Elizabeth Ellen Lannier, PT

  • Physical Therapist
  • Central Square, NY
National Provider Identifier
1104095926
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
012068-1 Issued in NY
Practice address
124 US Route 11
Kuss Physical Therapy
Central Square, NY 13036-9760
Phone
(315) 668-0123
NPI assigned
Feb 26, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kuss Physical Therapy PLLC 5 clinicians

Practice addresses (Care Compare)

124 US Route 11
Central SQ, NY 13036-9760
Phone (315) 668-0123

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080317000519 NY Practitioner - Physical Therapist in Private Practice 3870678725 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012068-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kuss Physical Therapy PLLC Physical Therapist CurrentSince Feb 26, 2008 Accepting new patients

Locations

124 US Route 11
Central Square, NY 13036
Phone (315) 668-0123

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 012068-1 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

124 US Route 11
Kuss Physical Therapy
Central Square, NY 13036-9760

Mailing address

124 US Route 11
Kuss Physical Therapy
Central Square, NY 13036-9760
Phone (315) 668-0123

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
BA0291OtherNYPROVIDER #

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 26, 2008.

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1104095926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 US ROUTE 11",
            "address_2": "KUSS PHYSICAL THERAPY",
            "city": "CENTRAL SQUARE",
            "state": "NY",
            "postal_code": "130369760",
            "telephone_number": "315-668-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 US ROUTE 11",
            "address_2": "KUSS PHYSICAL THERAPY",
            "city": "CENTRAL SQUARE",
            "state": "NY",
            "postal_code": "130369760",
            "telephone_number": "315-668-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANNIER",
        "first_name": "ELIZABETH",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012068-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER #",
            "identifier": "BA0291",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Square, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.