Laura Marie Favaro, PT, MS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

028030 Issued in NY

Practice address

4498 Main St
Suite 24
Amherst, NY 14226-3826

Phone

(716) 839-1550

Fax

(716) 839-1696

NPI assigned

Jan 24, 2007

Last updated

Apr 30, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phoenix Physical Therapy Services, P.C.

  • Orthopedic Physical Therapist
  • Amherst, NY
  • NPI 1053553578
  Authorized official Same address or phone
• Renovatio Physical Therapy, P.C.

  • Physical Therapist
  • Buffalo, NY
  • NPI 1164578035
  NPD (past)
• Swiatek Physical Therapy PLLC

  dba Phoenix Physical Therapy

  • Physical Therapy Clinic/Center
  • Amherst, NY
  • NPI 1982025094

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1528113800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4498 MAIN ST",
            "address_2": "SUITE #24",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142263826",
            "telephone_number": "716-839-1550",
            "fax_number": "716-839-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4498 MAIN ST",
            "address_2": "SUITE 24",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142263826",
            "telephone_number": "716-839-1550",
            "fax_number": "716-839-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVARO",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "28030",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "028030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02792478",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalifala Fane
• Michael James Fanning, MD
• William Joseph Faricellie III, DMD,MS,BA
• Scott M Farley, D.D.S.
• Jessica Farrell, D.C.
• Samantha Fay, MSW
• James Fecio, ATC
• Jennifer M Felber, PH.D., BCBA
• Judith A Feld, M.D.
• Genaro Feliciano

• Orthopedic Physical Therapist in Amherst, NY
• Providers in Amherst, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.