Organization Active NPI

Weston Paxxon PT,OT & SLP, PLLC

  • Physical Therapist
  • Penfield, NY
National Provider Identifier
1710175955
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003194 Issued in NY
Legal business name
WESTON PAXXON PT,OT & SLP, PLLC
Practice address
2006 Five Mile Line Rd
Suite 117
Penfield, NY 14526-1419
Phone
(585) 381-4128
Fax
(585) 381-4128
NPI assigned
Oct 12, 2007
Last updated
Nov 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Mr. Barbara Lorenz
Title
Practice Manager
Phone
(631) 467-3700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 003194 NY Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 008104 NY

Addresses

Primary practice location

2006 Five Mile Line Rd
Suite 117
Penfield, NY 14526-1419

Mailing address

2222 Sullivan TRL
Easton, PA 18040-7958
Phone (610) 991-2034

National Provider Directory

National Provider Directory

Locations

2006 Five Mile Line Rd
Ste 117
Penfield, NY 14526
Phone (585) 381-4128

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1710175955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 SULLIVAN TRL",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180407958",
            "telephone_number": "610-991-2034",
            "fax_number": "610-438-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 FIVE MILE LINE RD",
            "address_2": "SUITE 117",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261419",
            "telephone_number": "585-381-4128",
            "fax_number": "585-381-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTON PAXXON PT,OT & SLP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "LORENZ",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "631-467-3700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "003194",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "008104",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penfield, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.