Individual provider Active NPI

Carley Whitford, PT, DPT

  • Physical Therapist
  • Lockport, NY
National Provider Identifier
1922639657
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
044688 Issued in NY
Practice address
6000 Brockton Drive
Unit 107
Lockport, NY 14094
Phone
(716) 302-3294
NPI assigned
Jan 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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 044688 NY Primary

Addresses

Primary practice location

6000 Brockton Drive
Unit 107
Lockport, NY 14094

Mailing address

6000 Brockton Drive
Unit 107
Lockport, NY 14094
Phone (716) 302-3294

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200306000119 NY Practitioner - Physical Therapist in Private Practice 3870920762 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5 S Family Dr
Colonie, NY 12205-1049
Phone (518) 456-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PRN Physical, Occupational and Speech Therapy Network, PLLC CurrentSince Nov 1, 2021 Accepting new patients
PRN Physical, Occupational and Speech Therapy Network, PLLC Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients
Advanced Care Physical Therapy Aquatics and Fitness PC Physical Therapist CurrentSince Nov 1, 2020 Accepting new patients
Rose Physical Therapy PLLC Physical Therapist PastSince Feb 2, 2020 Accepting new patients

Locations

5 S Family Dr
Colonie, NY 12205
Phone (518) 213-9923

6000 Brockton Dr
Ste 107
Lockport, NY 14094
Phone (716) 201-1049

924 Main St
Niagara Falls, NY 14301

15 S Forest Rd
Williamsville, NY 14221
Phone (716) 204-8734

2222 Sullivan Trl
Ste 105
Easton, PA 18040
Phone (574) 261-7058

Organizations & group practices 5

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": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1922639657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 BROCKTON DRIVE",
            "address_2": "UNIT 107",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "14094",
            "telephone_number": "716-302-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 BROCKTON DRIVE",
            "address_2": "UNIT 107",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "14094",
            "telephone_number": "716-302-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITFORD",
        "first_name": "CARLEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.