Individual provider Active NPI

Nicole Lanzafame, PT, DPT

  • Physical Therapist
  • Rochester, NY
National Provider Identifier
1508597832
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
046197 Issued in NY
Practice address
961 Panorama TRL S
Rochester, NY 14625-2311
Phone
(585) 482-5060
Fax
(585) 512-8372
NPI assigned
Jun 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 046197 NY Primary

Addresses

Primary practice location

961 Panorama TRL S
Rochester, NY 14625-2311

Mailing address

961 Panorama TRL S
Rochester, NY 14625-2311
Phone (585) 482-5060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220721003575 NY Practitioner - Physical Therapist in Private Practice 7911388996 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Wellness 360 Physical Therapy and Massage PLLCGroup PAC ID 5294142956, 10 clinicians
Limitless Physical Therapy PCGroup PAC ID 5991967846, 32 clinicians

Practice addresses (Care Compare)

961 Panorama TRL S
Rochester, NY 14625-2311
Phone (585) 482-5060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046197NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
NPI 1336732684 Physical Therapist CurrentSince Jul 7, 2022 Accepting new patients
Melissa Clark OT PLLC Physical Therapist PastSince Oct 5, 2025 Accepting new patients

Locations

961 Panorama Trl S
Rochester, NY 14625
Phone (585) 363-5255

1328 University Ave
Rochester, NY 14607
Phone (585) 482-5060

961 Panorama Trl S
#2
Rochester, NY 14625
Phone (585) 482-5060

191 W Main St
Webster, NY 14580
Phone (315) 333-2385

191 W Main St
Ste 2
Webster, NY 14580
Phone (585) 259-0782

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": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1508597832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 PANORAMA TRL S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252311",
            "telephone_number": "585-482-5060",
            "fax_number": "585-512-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 PANORAMA TRL S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252311",
            "telephone_number": "585-482-5060",
            "fax_number": "585-512-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANZAFAME",
        "first_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.