Organization Active NPI

Gouverneur Physical Therapy, PLLC

  • Physical Therapist
  • Gouverneur, NY
National Provider Identifier
1730516394
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
016313 Issued in NY
Legal business name
GOUVERNEUR PHYSICAL THERAPY, PLLC
Practice address
99 W Main St
Suite 2
Gouverneur, NY 13642-1371
Phone
(315) 535-4899
NPI assigned
Sep 27, 2013
Last updated
Sep 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Authorized official

Name
Michael F Lapierre, P.T.NPI 1255508867
Title
Owner/Physical Therapist
Phone
(315) 535-4899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 016313 NY Primary

Addresses

Primary practice location

99 W Main St
Suite 2
Gouverneur, NY 13642-1371

Mailing address

99 W Main St
Suite 2
Gouverneur, NY 13642-1371
Phone (315) 535-4899

National Provider Directory

National Provider Directory

Locations

39 S Gordon St
Gouverneur, NY 13642
Phone (315) 287-1214

99 W Main St
Ste 2
Gouverneur, NY 13642
Phone (315) 535-4899

Practitioners & affiliated clinicians

Practitioners 1

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": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1730516394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 W MAIN ST",
            "address_2": "SUITE 2",
            "city": "GOUVERNEUR",
            "state": "NY",
            "postal_code": "136421371",
            "telephone_number": "315-535-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 W MAIN ST",
            "address_2": "SUITE 2",
            "city": "GOUVERNEUR",
            "state": "NY",
            "postal_code": "136421371",
            "telephone_number": "315-535-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOUVERNEUR PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "LAPIERRE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "315-535-4899",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gouverneur, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.