Mark Pfohl, P.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

008826 Issued in NY

Practice address

87 Sandra PL
Hamburg, NY 14075-5306

Phone

(716) 380-8252

NPI assigned

Jul 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lattimore of Geneseo Physical Therapy PC

  dba Avon Physical Therapy

  • Physical Therapist
  • Avon, NY
  • NPI 1134256985
  NPD (past)
• Shuman Physical Therapy Associates, P.C.

  dba Lattimore Physical Therapy

  • Physical Therapist
  • Rochester, NY
  • NPI 1003928755
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289606400000",
    "number": "1801895123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 SANDRA PL",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140755306",
            "telephone_number": "716-566-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 SANDRA PL",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140755306",
            "telephone_number": "716-380-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFOHL",
        "first_name": "MARK",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2010-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "008826",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "8826-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Peri, ATC
• Andrew Perilli, PT DPT
• Lora Perreault, LCSWR
• Heather Petri
• John R Petrunyak, MPT
• Christine Phillips
• Frank Anthony Pieber VI, LPN
• Christine J Pieczonka, RN
• Kimberly A Pierce, NP
• Mollie A. Pietrosanto

• Specialist in Hamburg, NY
• Providers in Hamburg, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2010; 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.