Individual provider Active NPI

Julie L Cimorelli

  • Specialist
  • Hamburg, NY
National Provider Identifier
1346308103
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
009220-1 Issued in NY
Practice address
230 Buffalo St
Hamburg, NY 14075-5011
Phone
(716) 648-5211
Fax
(716) 649-0075
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 009220-1 NY Primary

Addresses

Primary practice location

230 Buffalo St
Hamburg, NY 14075-5011

Mailing address

230 Buffalo St
Hamburg, NY 14075-5011
Phone (716) 648-5211

Other identifiers 2

IdentifierTypeStateIssuer
00027540701OtherNYBUFFALO COMMUNITY HEALTH
060131000043OtherNYFIDELIS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120220000096 NY Practitioner - Physical Therapist in Private Practice 8224296496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Physical Therapy of New York, P.C.Group PAC ID 4284531674, 83 clinicians

Practice addresses (Care Compare)

230 Buffalo St
Hamburg, NY 14075-5011
Phone (716) 648-5211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009220-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Physical Therapy of New York, P.C. CurrentSince Mar 6, 2025 Accepting new patients
Hamburg Physical Therapy, P.C. Specialist CurrentSince Jan 17, 2017 Accepting new patients

Locations

285 Delaware Ave
Ste 116
Buffalo, NY 14202
Phone (716) 381-8214

230 Buffalo St
Hamburg, NY 14075
Phone (716) 648-5211

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346308103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BUFFALO ST",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140755011",
            "telephone_number": "716-648-5211",
            "fax_number": "716-649-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BUFFALO ST",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140755011",
            "telephone_number": "716-648-5211",
            "fax_number": "716-649-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIMORELLI",
        "first_name": "JULIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "009220-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUFFALO COMMUNITY HEALTH",
            "identifier": "00027540701",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "060131000043",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.