Active NPI
Buffie L Haley, D.P.T.
- Physical Therapist
- Medina, NY
National Provider Identifier
1104984905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 017673-1
- Practice address
- 711 Park Ave Ste 101
Medina, NY 14103-1078 - Phone
- (585) 798-4344
- Fax
- (585) 798-0439
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Rome, NY
- NPI 1376546440
-
- Skilled Nursing Facility
- Rome, NY
- NPI 1528042264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017673-1 | NY | MD | Physical Therapist |
| 017673 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rome Memorial Hospital, Inc. | Past | Accepting new patients | |
| Rome Memorial Hospital, Inc. | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 017673-1 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
711 Park Ave Ste 101
Medina, NY 14103-1078
Mailing address
711 Park Ave Ste 101
Medina, NY 14103-1078
Phone (585) 798-4344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 20, 2020.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1104984905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 PARK AVE STE 101",
"city": "MEDINA",
"state": "NY",
"postal_code": "141031078",
"telephone_number": "585-798-4344",
"fax_number": "585-798-0439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 PARK AVE STE 101",
"city": "MEDINA",
"state": "NY",
"postal_code": "141031078",
"telephone_number": "585-798-4344",
"fax_number": "585-798-0439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALEY",
"first_name": "BUFFIE",
"middle_name": "L",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "017673-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medina, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.