Organization Active NPI

Lafayette Physical Therapy LLC

  • Physical Therapist
  • Lafayette, NY
National Provider Identifier
1609804277
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
XXXX Issued in NY
Legal business name
LAFAYETTE PHYSICAL THERAPY LLC
Practice address
2390 RT 11 South
Lafayette, NY 13084
Phone
(315) 677-9323
Fax
(315) 677-9325
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Authorized official

Name
Mr. Gabriel E Yankowitz, PTNPI 1215967757
Title
Therapist Managing Partner
Phone
(315) 677-9323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X XXXX NY Primary

Addresses

Primary practice location

2390 RT 11 South
Lafayette, NY 13084

Mailing address

2390 RT 11 South
Lafayette, NY 13084
Phone (315) 677-9323

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1609804277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 RT 11 SOUTH",
            "city": "LAFAYETTE",
            "state": "NY",
            "postal_code": "13084",
            "telephone_number": "315-677-9323",
            "fax_number": "315-677-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 RT 11 SOUTH",
            "city": "LAFAYETTE",
            "state": "NY",
            "postal_code": "13084",
            "telephone_number": "315-677-9323",
            "fax_number": "315-677-9325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "YANKOWITZ",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "THERAPIST MANAGING PARTNER",
        "authorized_official_telephone_number": "315-677-9323",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "XXXX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.