Individual provider Active NPI

Lisa M Passarelli, PT

  • Physical Therapist
  • Cheektowaga, NY
National Provider Identifier
1154347755
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025758 Issued in NY
Practice address
25 Pleasant St
Cheektowaga, NY 14225-3526
Phone
(716) 390-4785
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 025758 NY Primary

Addresses

Primary practice location

25 Pleasant St
Cheektowaga, NY 14225-3526

Mailing address

25 Pleasant St
Cheektowaga, NY 14225-3526
Phone (716) 390-4785

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040406001110 NY Practitioner - Physical Therapist in Private Practice 3173516036 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025758NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office CurrentSince Apr 29, 2025 Accepting new patients
People Inc. CurrentSince Jul 21, 2024 Accepting new patients
Western New York Physical and Occupational Therapy Group PLLC Physical Therapist PastSince Jul 26, 2023 Accepting new patients

Locations

44 Holland Ave
Fl 4
Albany, NY 12208

305 Main St
Binghamton, NY 13905
Phone (607) 729-1295

800 Hertel Ave
#101
Buffalo, NY 14207
Phone (716) 566-5007

800 Hertel Ave
Ste 104
Buffalo, NY 14207

800 Hertel Ave
Ste 101
Buffalo, NY 14207
Phone (716) 566-5007

2128 Elmwood Ave
Buffalo, NY 14207
Phone (716) 874-4500

106 Pine St
Hamburg, NY 14075
Phone (716) 646-0048

1200 East and West Rd
Bldg 16
West Seneca, NY 14224
Phone (716) 517-2000

1219 N Forest Rd
Williamsville, NY 14221
Phone (716) 634-8152

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154347755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 PLEASANT ST",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142253526",
            "telephone_number": "716-390-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 PLEASANT ST",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142253526",
            "telephone_number": "716-390-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSARELLI",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.