Organization Active NPI

Lift Pediatric Physical Therapy PLLC

  • Pediatric Physical Therapist
  • North Tonawanda, NY
National Provider Identifier
1235087776
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
LIFT PEDIATRIC PHYSICAL THERAPY PLLC
Practice address
246 Fredericka St
North Tonawanda, NY 14120-2613
Phone
(716) 201-0395
Fax
(716) 309-4310
NPI assigned
Mar 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Taylor HagenbuchNPI 1376109454
Title
Physical Therapist/Owner
Phone
(607) 226-5016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251P0200X Primary

Addresses

Primary practice location

246 Fredericka St
North Tonawanda, NY 14120-2613

Mailing address

246 Fredericka St
North Tonawanda, NY 14120-2613
Phone (716) 201-0395

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1235087776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 FREDERICKA ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202613",
            "telephone_number": "716-201-0395",
            "fax_number": "716-309-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 FREDERICKA ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202613",
            "telephone_number": "716-201-0395",
            "fax_number": "716-309-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFT PEDIATRIC PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "HAGENBUCH",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "607-226-5016"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.