Jon Eric Lippert, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

048968 Issued in NY

Practice address

2200 Penfield Rd
Penfield, NY 14526-1711

Phone

(585) 377-9626

NPI assigned

Aug 15, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Genesee Valley Physical Therapy & Sports Rehab., P.C.

  • Physical Therapist
  • Rochester, NY
  • NPI 1407910953
  Medicare reassignment NPD

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1225766470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PENFIELD RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261711",
            "telephone_number": "585-377-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PENFIELD RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261711",
            "telephone_number": "585-377-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPERT",
        "first_name": "JON",
        "middle_name": "ERIC",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Thornton Lempke, PT DPT MMM
• Kathleen W Levea, MASSAGE THERAPIST
• Jennifer Levy
• Alexandra Marie Lilly
• Mary Linton
• Kelly Anne Lisciandro, DO
• Alan Litvinov, DDS
• Live Well Webster Mental Health Counseling P.C.
• Peter Lofurno, DMD
• James Edmund Lovelock, M.D.

• Physical Therapist in Penfield, NY
• Providers in Penfield, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.