Individual provider Active NPI

Robert Thomas Lemyre, DPT

  • Physical Therapist
  • Mount Vernon, NY
National Provider Identifier
1174757389
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
031217 Issued in NY
Practice address
444 S Fulton Ave
Xperiencept/Active Fit GRD FLR
Mount Vernon, NY 10553-1718
Phone
(914) 882-0830
Fax
(914) 479-0039
NPI assigned
May 4, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 031217 NY Primary

Addresses

Primary practice location

444 S Fulton Ave
Xperiencept/Active Fit GRD FLR
Mount Vernon, NY 10553-1718

Mailing address

16 John R Albanese Place
Storefront # 18
Eastchester, NY 10709-4402
Phone (914) 882-0830

Other practice location 1

1 Elm St
Ardsley, NY 10502-2108
Phone (914) 202-0700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090723000268 NY Practitioner - Physical Therapist in Private Practice 4385796218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16 John R Albanese PL
Eastchester, NY 10709-4402
Phone (914) 882-0830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
031217NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Xperience Physical Therapy, P.C. Physical Therapist CurrentSince Jun 27, 2017 Accepting new patients
Duanesburg Physical Therapy, PLLC PastSince Feb 18, 2008 Accepting new patients

Locations

16 John R Albanese Pl
Eastchester, NY 10709

16 John R Albanese Pl
#18
Eastchester, NY 10709
Phone (914) 882-0830

16 John R Albanese Pl
Ste 18
Eastchester, NY 10709

444 S Fulton Ave
Mount Vernon, NY 10553
Phone (914) 407-3686

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174757389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 JOHN R ALBANESE PLACE",
            "address_2": "STOREFRONT # 18",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107094402",
            "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": "XPERIENCEPT/ACTIVE FIT GRD FLR",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105531718",
            "telephone_number": "914-882-0830",
            "fax_number": "914-479-0039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Elm St",
            "address_purpose": "LOCATION",
            "city": "Ardsley",
            "state": "NY",
            "postal_code": "105022108",
            "country_code": "US",
            "telephone_number": "914-202-0700",
            "fax_number": "914-462-3444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEMYRE",
        "first_name": "ROBERT",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-04",
        "last_updated": "2022-07-21",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.