NPIMap

Organization Active NPI

Shuman Physical Therapy Associates, PC

Doing business as Lattimore Iceplex PT

  • Physical Therapist
  • Rochester, NY
National Provider Identifier
1952818361
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SHUMAN PHYSICAL THERAPY ASSOCIATES, PC
Doing business as
Lattimore Iceplex PT
Practice address
2700 Brighton Henrietta Town Line Rd
Rochester, NY 14623-2716
Phone
(585) 272-0188
Fax
(585) 424-3789
NPI assigned
Jan 8, 2018
Last updated
Jan 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Authorized official

Name
Carol Whitbourne
Title
Office Manager
Phone
(585) 851-9987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

2700 Brighton Henrietta Town Line Rd
Rochester, NY 14623-2716

Mailing address

PO Box 664
Mendon, NY 14506-0664

Other names 1

  • Lattimore Iceplex PT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hilton Physical Therapy6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2700 Brighton Henrietta Town Line Rd
Rochester, NY 14623
Phone (585) 272-0188

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1952818361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 664",
            "city": "MENDON",
            "state": "NY",
            "postal_code": "145060664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 BRIGHTON HENRIETTA TOWN LINE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232716",
            "telephone_number": "585-272-0188",
            "fax_number": "585-424-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUMAN PHYSICAL THERAPY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "WHITBOURNE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "585-851-9987"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lattimore Iceplex PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.