Active NPI
John A Lord, P.T.
- Physical Therapist
- West Seneca, NY
National Provider Identifier
1891798278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004921
- Practice address
- 100 Union Rd
West Seneca, NY 14224-4656 - Phone
- (716) 675-4444
- Fax
- (716) 675-4446
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004921 | NY | Primary |
Addresses
Primary practice location
100 Union Rd
West Seneca, NY 14224-4656
Mailing address
100 Union Rd
West Seneca, NY 14224-4656
Phone (716) 675-4444
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00011174401 | Other | NY | UNIVERA |
| 000611251001 | Other | NY | BLUE CROSS |
| 650025691 | Other | NY | RAILROAD MEDICARE |
| 9308095 | Other | NY | INDEPENDENT HEALTH |
| 812495 | Other | NY | ACN |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323993600000",
"number": "1891798278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 UNION RD",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142244656",
"telephone_number": "716-675-4444",
"fax_number": "716-675-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 UNION RD",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142244656",
"telephone_number": "716-675-4444",
"fax_number": "716-675-4446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORD",
"first_name": "JOHN",
"middle_name": "A",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2011-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "004921",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00011174401",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000611251001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "650025691",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "9308095",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "812495",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Seneca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.