Xperience Physical Therapy, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

031217 Issued in NY

Legal business name

XPERIENCE PHYSICAL THERAPY, P.C.

Practice address

444 S Fulton Ave
Ground Floor Active Fitness
Mount Vernon, NY 10553-1718

Phone

(914) 882-0830

Fax

(914) 479-0039

NPI assigned

Jun 25, 2017

Organization subpart

No

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

Authorized official

Name

Robert Lemyre, DPTNPI 1174757389

Title

President/Owner

Phone

(914) 882-0830

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Thomas Lemyre, DPT

  • Physical Therapist
  • Mount Vernon, NY
  • NPI 1174757389

  NY, Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1498348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498348800000",
    "number": "1114447752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LAKE ST APT 8G-N",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106042427",
            "telephone_number": "914-882-0830",
            "fax_number": "914-479-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S FULTON AVE",
            "address_2": "GROUND FLOOR ACTIVE FITNESS",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105531718",
            "telephone_number": "914-882-0830",
            "fax_number": "914-479-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XPERIENCE PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-25",
        "last_updated": "2017-06-25",
        "status": "A",
        "authorized_official_last_name": "LEMYRE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "914-882-0830",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashanti Woods
• Davonte Woodton, LMSW
• Ingrid Wright-Powell
• Rachel Gibbs Wright, MA, LMFT, C-DBT
• Roberta Diane Wright, NP
• Xpress Taxi and Limo, Inc.
• Xpress Taxi and Limo, LLC
• Iva H Yalkowsky-Kornreich, O.D.
• Amir Yamani, MD
• Maryam Yamani, M.D.

• Physical Therapist in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.