NPIMap

Organization Active NPI

Mendon Physical Therapy Management, PC

Doing business as Pittsford Mendon Physical Therapy

  • Physical Therapist
  • Mendon, NY
National Provider Identifier
1245334929
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011899 Issued in NY
Legal business name
MENDON PHYSICAL THERAPY MANAGEMENT, PC
Doing business as
Pittsford Mendon Physical Therapy
Practice address
110 Assembly Dr
Mendon, NY 14506-9600
Phone
(585) 582-1330
Fax
(585) 582-2537
NPI assigned
Sep 12, 2006
Last updated
Apr 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Mr. John Harold Shuman, PT
Title
Owner
Phone
(585) 582-1330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 011899 NY Primary

Addresses

Primary practice location

110 Assembly Dr
Mendon, NY 14506-9600

Mailing address

PO Box 212
110 Assembly Dr
Mendon, NY 14506-0212
Phone (585) 582-1330

Other names 1

  • PITTSFORD MENDON PHYSICAL THERAPY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1245334929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "address_2": "110 ASSEMBLY DR",
            "city": "MENDON",
            "state": "NY",
            "postal_code": "145060212",
            "telephone_number": "585-582-1330",
            "fax_number": "585-582-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ASSEMBLY DR",
            "city": "MENDON",
            "state": "NY",
            "postal_code": "145069600",
            "telephone_number": "585-582-1330",
            "fax_number": "585-582-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDON PHYSICAL THERAPY MANAGEMENT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "SHUMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-582-1330",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PITTSFORD MENDON PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mendon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.