Individual provider Active NPI

Joseph Lanzafame, DPT

  • Physical Therapist
  • Webster, NY
National Provider Identifier
1184239162
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
046255 Issued in NY
Practice address
847 Holt Rd
Webster, NY 14580-9193
Phone
(585) 300-4333
NPI assigned
Sep 15, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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 046255 NY Primary

Addresses

Primary practice location

847 Holt Rd
Webster, NY 14580-9193

Mailing address

847 Holt Rd
Webster, NY 14580-9193
Phone (585) 300-4333

Other practice location 1

515 Long Pond Rd
Rochester, NY 14612-3005
Phone (585) 227-2310

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200922001505 NY Practitioner - Physical Therapist in Private Practice 1456779503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burd Physical Therapy PLLCGroup PAC ID 5294068268, 11 clinicians

Practice addresses (Care Compare)

3070 Monroe Ave
Rochester, NY 14618-4604
Phone (585) 300-4333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046255NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Burd Physical Therapy PLLC Physical Therapist CurrentSince Feb 12, 2024 Accepting new patients

Locations

650 Whitney Rd W
Ste J
Fairport, NY 14450
Phone (585) 300-4333

3070 Monroe Ave
Rochester, NY 14618
Phone (585) 300-4333

Organizations & group practices 1

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": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1184239162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 HOLT RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145809193",
            "telephone_number": "585-300-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 HOLT RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145809193",
            "telephone_number": "585-300-4333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Long Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146123005",
            "country_code": "US",
            "telephone_number": "585-227-2310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANZAFAME",
        "first_name": "JOSEPH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-15",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.