Individual provider Active NPI

Pamela Bartlo, PT, DPT

  • Cardiopulmonary Physical Therapist
  • Buffalo, NY
National Provider Identifier
1508142324
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiopulmonary Physical TherapistTaxonomy code 2251C2600X
License
017302 Issued in NY
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

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.