Active NPI
Robert Thomas Lemyre, DPT
- Physical Therapist
- Mount Vernon, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 031217
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 031217 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Xperience Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
| Duanesburg Physical Therapy, PLLC | Past | 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.
-
- Physical Therapist
- Mount Vernon, NY
- NPI 1114447752
-
- Physical Therapy Clinic/Center
- Duanesburg, NY
- NPI 1093983538
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.