Organization Active NPI

Lattimore of Webster Physical Therapy, PC

  • Physical Therapist
  • Webster, NY
National Provider Identifier
1871820316
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011899 Issued in NY
Legal business name
LATTIMORE OF WEBSTER PHYSICAL THERAPY, PC
Practice address
1130 Crosspointe Lane Suite 6
Webster, NY 14580
Phone
(585) 582-1330
Fax
(585) 582-2537
NPI assigned
Nov 4, 2009
Last updated
Feb 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Authorized official

Name
John Harold Shuman, MS, PTC, ATC
Title
Owner
Phone
(585) 582-1330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 011899 NY Primary

Addresses

Primary practice location

1130 Crosspointe Lane Suite 6
Webster, NY 14580

Mailing address

1130 Crosspointe Lane Suite 6
Webster, NY 14580
Phone (585) 582-1330

National Provider Directory

National Provider Directory

Locations

1130 Crosspointe Ln
Ste 6
Webster, NY 14580
Phone (585) 347-4990

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1871820316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 CROSSPOINTE LANE SUITE 6",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "14580",
            "telephone_number": "585-582-1330",
            "fax_number": "585-582-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 CROSSPOINTE LANE SUITE 6",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "14580",
            "telephone_number": "585-582-1330",
            "fax_number": "585-582-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATTIMORE OF WEBSTER PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "SHUMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-582-1330",
        "authorized_official_credential": "MS, PTC, ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.