Active NPI
Lauren Regina Fery, DPT
- Physical Therapist
- Brockport, NY
National Provider Identifier
1639412596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 036049
- Practice address
- 19 Old Elm Dr
Brockport, NY 14420-2511 - Phone
- (585) 704-6986
- NPI assigned
- Mar 29, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 036049 | NY | Primary |
Addresses
Primary practice location
19 Old Elm Dr
Brockport, NY 14420-2511
Mailing address
19 Old Elm Dr
Brockport, NY 14420-2511
Phone (585) 704-6986
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036049 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366070400000",
"number": "1639412596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 OLD ELM DR",
"city": "BROCKPORT",
"state": "NY",
"postal_code": "144202511",
"telephone_number": "585-704-6986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 OLD ELM DR",
"city": "BROCKPORT",
"state": "NY",
"postal_code": "144202511",
"telephone_number": "585-704-6986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERY",
"first_name": "LAUREN",
"middle_name": "REGINA",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-29",
"last_updated": "2013-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "036049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.