Individual provider Active NPI

Lori Lee Bumpus, PT

  • Pediatric Physical Therapist
  • Mayfield, NY
National Provider Identifier
1174843288
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
012556-1 Issued in NY
Practice address
27 School St
Mayfield, NY 12117-3452
Phone
(518) 661-8200
NPI assigned
Jun 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 012556-1 NY Primary

Addresses

Primary practice location

27 School St
Mayfield, NY 12117-3452

Mailing address

27 School St
Mayfield, NY 12117-3452
Phone (518) 661-8200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161017000873 NY Practitioner - Physical Therapist in Private Practice 0446548911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balanced Health Physical TherapyGroup PAC ID 1456672591, 9 clinicians

Practice addresses (Care Compare)

41 Arterial PLZ
Gloversville, NY 12078-2512
Phone (518) 775-9554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012556-1NYMDPediatric Physical Therapist
012556NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Health Physical Therapy Pediatrics CurrentSince Sep 26, 2016 Accepting new patients
Mayfield Central School District Past Accepting new patients

Locations

41 Arterial Plz
Gloversville, NY 12078
Phone (518) 775-9554

41 Arterial Plz
Ste 15B
Gloversville, NY 12078
Phone (518) 773-2300

309 W Montgomery St
Ste 16A
Johnstown, NY 12095
Phone (518) 619-8991

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.

NPI Registry JSON

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1174843288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 SCHOOL ST",
            "city": "MAYFIELD",
            "state": "NY",
            "postal_code": "121173452",
            "telephone_number": "518-661-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SCHOOL ST",
            "city": "MAYFIELD",
            "state": "NY",
            "postal_code": "121173452",
            "telephone_number": "518-661-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMPUS",
        "first_name": "LORI",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-11",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "012556-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.