Penn Yan Physical Therapy P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PENN YAN PHYSICAL THERAPY P.C.

Practice address

207 1/2 Lake St
Penn Yan, NY 14527-1802

Phone

(585) 582-0007

Fax

(888) 822-9237

NPI assigned

Aug 29, 2016

Organization subpart

No

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

Authorized official

Name

John Shuman, PT

Title

President

Phone

(585) 315-2339

Specialties & licenses 1

Addresses

Other names 1

• LATTIMORE OF PENN YAN PT Doing business as

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1285180463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "city": "MENDON",
            "state": "NY",
            "postal_code": "145060699",
            "telephone_number": "585-582-0007",
            "fax_number": "888-822-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 1/2 LAKE ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271802",
            "telephone_number": "585-582-0007",
            "fax_number": "888-822-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN YAN PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "SHUMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-315-2339",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LATTIMORE OF PENN YAN PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachael Patten, LMSW
• Penn Yan Area Volunteer Ambulance Corps Inc
• Penn Yan Central School
• Penn Yan Manor Nursing Home, Inc.
• Penn Yan Optometry PC
• Anthony J Petrucci, P.T.
• Danielle Pfeiffer, LMSW
• Ross Spencer Phippen Jr., DMD
• Maddison P Pickering, OTR/L
• Joshua Pritchard, OTR/L

• Physical Therapist in Penn Yan, NY
• Providers in Penn Yan, 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 29, 2016; 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.