Lauren R Dunaway, PT, DPT – Physical Therapist

Key facts

NPI: 1962747394
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
Practice address: 6575 Hamilton Dr
Derby, NY 14047-9650
Phone: (716) 946-7797
NPI assigned: Dec 12, 2012
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Baker Hall Developmentally Disabled Services Day Training Agency · Lackawanna, NY · NPI 1669695391

Medicare reassignment NY

Medicare Care Compare profile

Specialty: Physical Therapist in Private Practice
Education: Other, 2012
Medicare assignment: May accept Medicare assignment

Practice addresses (Care Compare)

171 Sullys TRL
Pittsford, NY 14534-4557

790 Ridge Rd
Lackawanna, NY 14218-1696

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NY

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20260330003079	NY	Practitioner - Physical Therapist in Private Practice	5799260584	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X			Yes

Addresses

Primary practice location

6575 Hamilton Dr
Derby, NY 14047-9650

Mailing address

4465 Mapleton Rd
Lockport, NY 14094-9653

Other providers in Derby, NY

All providers in Derby, NY · Physical Therapist in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.