Active NPI
Elizabeth Ellen Lannier, PT
- Physical Therapist
- Central Square, NY
National Provider Identifier
1104095926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 012068-1
- 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.
-
- Physical Therapist
- Central Square, NY
- NPI 1265590137
NY, Physical Therapist
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 012068-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kuss Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
Locations
124 US Route 11
Central Square, NY 13036
Phone (315) 668-0123
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 012068-1 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| BA0291 | Other | NY | PROVIDER # |
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.