Gouverneur Physical Therapy, PLLC

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

Organization subpart

No

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

Authorized official

Name

Michael F Lapierre, P.T.

Title

Owner/Physical Therapist

Phone

(315) 535-4899

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1255508867",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gouverneur Hospital
• Gouverneur Hospital
• Gouverneur Hospital
• Gouverneur Nursing Home Company Inc.
• Gouverneur Pediatrics,PC
• Gouverneur Volunteer Rescue Squad Inc
• Gouverneur Volunteer Rescue Squad Inc
• Jennifer Grant, RPH
• Bruce John Grattan Jr., DO, MS, RD
• James Grenier, PHARM D

• All providers in Gouverneur, NY
• Physical Therapist in New York

• 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.