Individual provider Active NPI

Michael Edward Lamarca, PHYSICAL THERAPIST

  • Technician
  • Amherst, NY
National Provider Identifier
1760633440
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
TechnicianTaxonomy code 374700000X
License
012120-1 Issued in NY
Practice address
1360 Eggert Rd
Amherst, NY 14226-3354
Phone
(716) 835-0417
NPI assigned
Oct 1, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician 374700000X 012120-1 NY Primary

Addresses

Primary practice location

1360 Eggert Rd
Amherst, NY 14226-3354

Mailing address

10322 Loretta Dr
Niagara Falls, NY 14304-2937
Phone (716) 297-8745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
012120-1NYMDTechnician

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1760633440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10322 LORETTA DR",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143042937",
            "telephone_number": "716-297-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 EGGERT RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142263354",
            "telephone_number": "716-835-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMARCA",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "NY",
            "license": "012120-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.