Maryanne Margaret Lazore, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

054977 Issued in NY

Practice address

230 Main St
East Aurora, NY 14052-1635

Phone

(716) 714-9860

NPI assigned

Aug 15, 2025

Last updated

Aug 15, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Buffalo Rehab Group Physical Therapy and Occupational Therapy PCGroup PAC ID 1355232596, 79 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Buffalo Rehab Group Physical Therapy and Occupational Therapy PC

  • Physical Therapist
  • West Seneca, NY
  • NPI 1548290943
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1578440202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SLATE CREEK DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142273806",
            "telephone_number": "315-247-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MAIN ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521635",
            "telephone_number": "716-714-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZORE",
        "first_name": "MARYANNE",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "054977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Lynn Kreeger, MD
• Elizabeth Louise Kruger, LCSW-R
• Felicitas Kusch-Lango, YTR
• Amy Laduca
• David Lawton, M.D.
• Amelia Leggett, MSW
• Emily Nicole Levin, MSW
• Michelle Lewis, D.O.
• Grace Catherine Link, OTR
• Linda Sue Lopian, OTR/L

• Physical Therapist in East Aurora, NY
• Providers in East Aurora, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.