Individual provider Active NPI

Frederick Francis Pordum II, PT, DPT

  • Physical Therapist
  • Orchard Park, NY
National Provider Identifier
1831376979
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18739 Issued in NY
Practice address
16 Lakeridge Dr
Orchard Park, NY 14127-3362
Phone
(716) 662-5106
NPI assigned
Jan 30, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2026

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 18739 NY Primary

Addresses

Primary practice location

16 Lakeridge Dr
Orchard Park, NY 14127-3362

Mailing address

16 Lakeridge Dr
Orchard Park, NY 14127-3362
Phone (716) 982-7131

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
18739NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Daemen University Physical Therapy Inc Physical Therapist Current Accepting new patients
Contemporary Physical Therapy, PLLC Physical Therapist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1831376979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LAKERIDGE DR",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141273362",
            "telephone_number": "716-982-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 LAKERIDGE DR",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141273362",
            "telephone_number": "716-662-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORDUM II",
        "first_name": "FREDERICK",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-30",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "18739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.