Individual provider Active NPI

Andrea Michelle Larnard, PT

  • Physical Therapist
  • Hornell, NY
National Provider Identifier
1801401633
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
046109 Issued in NY
Practice address
100 Loder St Ste 105
Hornell, NY 14843-1957
Phone
(607) 324-9344
Fax
(607) 324-9345
NPI assigned
Sep 9, 2020
Last updated
Sep 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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 046109 NY Primary

Addresses

Primary practice location

100 Loder St Ste 105
Hornell, NY 14843-1957

Mailing address

210 Clifton Springs Professional Park
Clifton Springs, NY 14432-1041
Phone (315) 906-0058

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200914001478 NY Practitioner - Physical Therapist in Private Practice 4587082144 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Physical Therapy Professionals, PCGroup PAC ID 1153486485, 4 clinicians

Practice addresses (Care Compare)

3506 Thomas Dr
Lakeville, NY 14480-9730
Phone (585) 346-0060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046109NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Professionals, PC Physical Therapist CurrentSince Aug 11, 2024 Accepting new patients
Finger Lakes Therapy Works Physical Therapy, Occupational Therapy, Spe CurrentSince Sep 7, 2021 Accepting new patients
Finger Lakes Therapy Works, Physical Therapy, Occupational Physical Therapist Current Accepting new patients

Locations

210 Clifton Springs Professional Park
Clifton Springs, NY 14432
Phone (315) 462-3588

3506 Thomas Dr
Lakeville, NY 14480
Phone (585) 346-0060

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1801401633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CLIFTON SPRINGS PROFESSIONAL PARK",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144321041",
            "telephone_number": "315-906-0058",
            "fax_number": "315-906-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LODER ST STE 105",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431957",
            "telephone_number": "607-324-9344",
            "fax_number": "607-324-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARNARD",
        "first_name": "ANDREA",
        "middle_name": "MICHELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hornell, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.