Individual provider Active NPI

Grant Charles Levermore, DPT

  • Physical Therapist
  • Warsaw, NY
National Provider Identifier
1962981589
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
046828 Issued in NY
Practice address
2333 N Main St
Warsaw, NY 14569-9356
Phone
(585) 786-8700
NPI assigned
Aug 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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 046828 NY Primary

Addresses

Primary practice location

2333 N Main St
Warsaw, NY 14569-9356

Mailing address

284 S Goodman St
Rochester, NY 14607-2714
Phone (585) 746-5685

Other practice location 1

120 Prospect St
Attica, NY 14011-1128
Phone (585) 591-3082

Other practice location 2

56 Main St
Akron, NY 14001-1240
Phone (716) 542-1135

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231208001979 NY Practitioner - Physical Therapist in Private Practice 8426308719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western New York Performance Physical Therapy PLLCGroup PAC ID 1254773716, 5 clinicians

Practice addresses (Care Compare)

2333 N Main St
Warsaw, NY 14569-9356
Phone (585) 786-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27114MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Performance Physical Therapy PLLC Physical Therapist CurrentSince Jul 14, 2021 Accepting new patients
Step by Step Physical Therapy P.C. Physical Therapist CurrentSince Jul 13, 2015 Accepting new patients
Spear Physical and Occupational Therapy, LLC Physical Therapist CurrentSince Dec 1, 2023 Accepting new patients

Locations

56 Main St
Akron, NY 14001
Phone (585) 591-3082

120 Prospect St
Attica, NY 14011
Phone (585) 484-9564

31 E 32nd St
Fl 4
New York, NY 10016
Phone (646) 973-5427

120 E 56th St
Rm 1010
New York, NY 10022
Phone (646) 790-7466

2333 State Route 19 N
Warsaw, NY 14569
Phone (585) 484-9564

Organizations & group practices 3

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": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1962981589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 S GOODMAN ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146072714",
            "telephone_number": "585-746-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 N MAIN ST",
            "city": "WARSAW",
            "state": "NY",
            "postal_code": "145699356",
            "telephone_number": "585-786-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Prospect St",
            "address_purpose": "LOCATION",
            "city": "Attica",
            "state": "NY",
            "postal_code": "140111128",
            "country_code": "US",
            "telephone_number": "585-591-3082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "56 Main St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "NY",
            "postal_code": "140011240",
            "country_code": "US",
            "telephone_number": "716-542-1135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVERMORE",
        "first_name": "GRANT",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-14",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.