NPIMap

Organization Active NPI

Mendon Physical Therapy Management, PC

Doing business as Lattimore Rush Henrietta Physical Therapy

  • Physical Therapist
  • Henrietta, NY
National Provider Identifier
1326375866
Registry record updated Feb 27, 2015
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
Lattimore Rush Henrietta Physical Therapy
Practice address
60 Finn Rd
Suite C
Henrietta, NY 14467-9393
Phone
(585) 444-0040
Fax
(585) 444-0052
NPI assigned
Nov 4, 2009
Last updated
Feb 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

60 Finn Rd
Suite C
Henrietta, NY 14467-9393

Mailing address

60 Finn Rd
Suite C
Henrietta, NY 14467-9393
Phone (585) 444-0040

Other names 1

  • LATTIMORE RUSH HENRIETTA PHYSICAL THERAPY Doing business as

National Provider Directory

National Provider Directory

Locations

20 Finn Rd
Henrietta, NY 14467
Phone (585) 582-0007

60 Finn Rd
Ste C
Henrietta, NY 14467
Phone (585) 440-0040

58 N Main St
Ste 200
Honeoye Falls, NY 14472
Phone (585) 582-0034

110 Assembly Dr
Mendon, NY 14506
Phone (585) 582-1330

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1326375866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 FINN RD",
            "address_2": "SUITE C",
            "city": "HENRIETTA",
            "state": "NY",
            "postal_code": "144679393",
            "telephone_number": "585-444-0040",
            "fax_number": "585-444-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 FINN RD",
            "address_2": "SUITE C",
            "city": "HENRIETTA",
            "state": "NY",
            "postal_code": "144679393",
            "telephone_number": "585-444-0040",
            "fax_number": "585-444-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDON PHYSICAL THERAPY MANAGEMENT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "SHUMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-582-1330",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, PT, ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LATTIMORE RUSH HENRIETTA PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henrietta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.