Individual provider Active NPI

Lori Metke

  • Physical Therapist
  • Potsdam, NY
National Provider Identifier
1710510938
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1328123 Issued in TX
Practice address
51 Main St
Potsdam, NY 13676-6000
Phone
(315) 274-3233
NPI assigned
Feb 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1328123 TX Primary

Addresses

Primary practice location

51 Main St
Potsdam, NY 13676-6000

Mailing address

4 Castle Dr
Potsdam, NY 13676-1611
Phone (315) 274-3233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210804000036 NY Practitioner - Physical Therapist in Private Practice 6901234210 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046636NYMDPharmacist
1328123TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
People Inc. CurrentSince Jul 21, 2024 Accepting new patients

Locations

800 Hertel Ave
Ste 101
Buffalo, NY 14207
Phone (716) 566-5007

800 Hertel Ave
Ste 104
Buffalo, NY 14207

800 Hertel Ave
#101
Buffalo, NY 14207
Phone (716) 566-5007

2128 Elmwood Ave
Buffalo, NY 14207
Phone (716) 874-4500

1219 N Forest Rd
Williamsville, NY 14221
Phone (716) 634-8152

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1710510938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CASTLE DR",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761611",
            "telephone_number": "315-274-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 MAIN ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136766000",
            "telephone_number": "315-274-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METKE",
        "first_name": "LORI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1328123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potsdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.