Individual provider Active NPI

Samantha Guarrera Lawrence, DPT

  • Physical Therapist
  • Chittenango, NY
National Provider Identifier
1902205891
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037808 Issued in NY
Practice address
1398 State Route 5
Chittenango, NY 13037-8763
Phone
(315) 510-3372
Fax
(315) 510-3688
NPI assigned
Aug 18, 2014
Last updated
Nov 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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 037808 NY Primary

Addresses

Primary practice location

1398 State Route 5
Chittenango, NY 13037-8763

Mailing address

1398 State Route 5
Chittenango, NY 13037-8763
Phone (315) 510-3372

Other names 1

  • Samantha Guarrera Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150608001115 NY Practitioner - Physical Therapist in Private Practice 1759602394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of Ny Upstate Medical University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Physical Therapy of New York, P.C.Group PAC ID 4284531674, 83 clinicians

Practice addresses (Care Compare)

7455 Morgan Rd
Suite 2
Liverpool, NY 13090-3956
Phone (315) 451-6767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
037808NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Chittenango Physical Therapy, P.C. Physical Therapist CurrentSince May 1, 2015 Accepting new patients
Sports Physical Therapy of New York, P.C. Physical Therapist CurrentSince Feb 8, 2020 Accepting new patients

Locations

285 Delaware Ave
Ste 116
Buffalo, NY 14202
Phone (716) 381-8214

5320 W Genesee St
Ste 2
Camillus, NY 13031
Phone (315) 469-5400

1398 State Route 5
Chittenango, NY 13037
Phone (315) 510-3372

7455 Morgan Rd
#2
Liverpool, NY 13090
Phone (315) 451-6767

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1902205891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1398 STATE ROUTE 5",
            "city": "CHITTENANGO",
            "state": "NY",
            "postal_code": "130378763",
            "telephone_number": "315-510-3372",
            "fax_number": "315-510-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1398 STATE ROUTE 5",
            "city": "CHITTENANGO",
            "state": "NY",
            "postal_code": "130378763",
            "telephone_number": "315-510-3372",
            "fax_number": "315-510-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "SAMANTHA",
        "middle_name": "GUARRERA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-18",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "GUARRERA",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chittenango, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.