Active NPI
Pamela Bartlo, PT, DPT
- Cardiopulmonary Physical Therapist
- Buffalo, NY
National Provider Identifier
1508142324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiopulmonary Physical Therapist
- License
- 017302
- Practice address
- 320 Porter Ave
Buffalo, NY 14201-1032 - Phone
- (716) 829-8390
- Fax
- (716) 829-7680
- NPI assigned
- Oct 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cardiopulmonary Physical Therapist | 2251C2600X | 017302 | NY | Primary |
Addresses
Primary practice location
320 Porter Ave
Buffalo, NY 14201-1032
Mailing address
124 Park PL
Grand Island, NY 14072-3516
Phone (716) 773-7456
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319500800000",
"number": "1508142324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 PARK PL",
"city": "GRAND ISLAND",
"state": "NY",
"postal_code": "140723516",
"telephone_number": "716-773-7456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 PORTER AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142011032",
"telephone_number": "716-829-8390",
"fax_number": "716-829-7680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTLO",
"first_name": "PAMELA",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-25",
"last_updated": "2011-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "2251C2600X",
"taxonomy_group": "",
"desc": "Physical Therapist, Cardiopulmonary",
"state": "NY",
"license": "017302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.