Active NPI
Mary Kathryn Lashomb, PT, DPT
- Physical Therapist
- Malone, NY
National Provider Identifier
1457409161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 012713-1
- Practice address
- 187 Park St
Malone, NY 12953 - Phone
- (518) 481-2440
- Fax
- (518) 481-2617
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 012713-1 | NY | Primary |
Addresses
Primary practice location
187 Park St
Malone, NY 12953
Mailing address
326 River Rd
Malone, NY 12953
Phone (518) 651-1672
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012713-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alice Hyde Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Skilled Nursing Facility
- Malone, NY
- NPI 1356441349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574640000000",
"number": "1457409161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 RIVER RD",
"city": "MALONE",
"state": "NY",
"postal_code": "12953",
"telephone_number": "518-651-1672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 PARK ST",
"city": "MALONE",
"state": "NY",
"postal_code": "12953",
"telephone_number": "518-481-2440",
"fax_number": "518-481-2617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASHOMB",
"first_name": "MARY",
"middle_name": "KATHRYN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2019-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "012713-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malone, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.