Organization Active NPI

Mendon Physical Therapy Management, PC

  • Physical Therapist
  • Honeoye Falls, NY
National Provider Identifier
1710007182
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MENDON PHYSICAL THERAPY MANAGEMENT, PC
Practice address
58 N Main St
Honeoye Falls, NY 14472-1042
Phone
(585) 582-0034
Fax
(585) 582-0026
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Authorized official

Name
John H Shuman, PT
Title
Owner and President
Phone
(585) 582-1330

Specialties & licenses 1

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

Addresses

Primary practice location

58 N Main St
Honeoye Falls, NY 14472-1042

Mailing address

58 N Main St
Honeoye Falls, NY 14472-1042
Phone (585) 582-0034

Other names 1

  • HONEOYE FALLS LIMA PHYSICAL THERAPY Doing business as

National Provider Directory

National Provider Directory

Locations

58 N Main St
Honeoye Falls, NY 14472
Phone (585) 582-0034

Practitioners & affiliated clinicians

Practitioners 1

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1710007182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 N MAIN ST",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "144721042",
            "telephone_number": "585-582-0034",
            "fax_number": "585-582-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 N MAIN ST",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "144721042",
            "telephone_number": "585-582-0034",
            "fax_number": "585-582-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDON PHYSICAL THERAPY MANAGEMENT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "SHUMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER AND PRESIDENT",
        "authorized_official_telephone_number": "585-582-1330",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HONEOYE FALLS LIMA PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honeoye Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.