John Matthew Dunham Jr., LMT

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

019742 Issued in NY

Practice address

2024 W Henrietta Rd
Suite 5B
Rochester, NY 14623-1355

Phone

(585) 857-2510

NPI assigned

Dec 16, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1811226137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 GATES GREECE TOWNLINE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146063452",
            "telephone_number": "585-857-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 W HENRIETTA RD",
            "address_2": "SUITE 5B",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231355",
            "telephone_number": "585-857-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "JOHN",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "NY",
            "license": "019742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Duncan, PA-C
• Coley Bryant Duncan, MD
• Kristen Duncan
• Sue Ann Dunford, OTR L
• Bryan Dunham
• Tiana Rene Dunham, LPN
• Wendy Dunham
• Andrew Dunkman, M.D.
• Thureiser Dunlap, R.N.
• Kate L Dunlavey, LCSW

• Mechanotherapist in Rochester, NY
• Providers in Rochester, NY by specialty
• Mechanotherapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.