Individual provider Active NPI

Buffie L Haley, D.P.T.

  • Physical Therapist
  • Medina, NY
National Provider Identifier
1104984905
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
017673-1 Issued in NY
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.

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

LicenseStateTypeSpecialty
017673-1NYMDPhysical Therapist
017673NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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)CodeLicenseStatePrimary
Physical Therapist 225100000X 017673-1 NY Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.