NPIMap

Organization Active NPI

Lingle & Mazur Physical Therapy, PC

  • Physical Therapist
  • Niagara Falls, NY
National Provider Identifier
1477848810
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0263541 Issued in NY
Legal business name
LINGLE & MAZUR PHYSICAL THERAPY, PC
Practice address
2111 Sawyer Dr
Niagara Falls, NY 14304-2975
Phone
(716) 731-2195
Fax
(716) 731-4862
NPI assigned
Jun 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Authorized official

Name
Mr. Charles Kenneth Lingle Jr., DPT,MSBS,MTCNPI 1710970629
Title
Co-Owner,Physical Therapist
Phone
(716) 731-2195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 0263541 NY Primary

Addresses

Primary practice location

2111 Sawyer Dr
Niagara Falls, NY 14304-2975

Mailing address

2111 Sawyer Dr
Niagara Falls, NY 14304-2975
Phone (716) 731-2195

Other names 1

  • Dubois Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120224000024 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7315105152 Receives reassigned benefits from 6 practitioners
Practice locations: Niagara Falls, NY

National Provider Directory

National Provider Directory

Locations

8750 Transit Rd
Ste 100
East Amherst, NY 14051
Phone (716) 250-6500

2111 Sawyer Dr
Niagara Falls, NY 14304
Phone (716) 298-3504

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1477848810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 SAWYER DR",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143042975",
            "telephone_number": "716-731-2195",
            "fax_number": "716-731-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 SAWYER DR",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143042975",
            "telephone_number": "716-731-2195",
            "fax_number": "716-731-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINGLE & MAZUR PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "LINGLE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "CO-OWNER,PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "716-731-2195",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPT,MSBS,MTC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0263541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dubois Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.