NPI Code Detail JSON Logo

1154478147 NPI number — THERESA M LIFFITON PT

NPI Number: 1154478147
Health Care Provider/Practitioner: THERESA M LIFFITON PT

Information about “1154478147” NPI (THERESA M LIFFITON PT) exists in 1154478147 in HTML format HTML  |  1154478147 in plain Text format TXT  |  1154478147 in PDF (Portable Document Format) PDF  |  1154478147 in an XML format XML  formats.

NPI Number : 1154478147 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154478147",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LIFFITON",
    "FirstName": "THERESA",
    "MiddleName": "M",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "PT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "NEMEC",
    "OtherFirstName": "THERESA",
    "OtherMiddleName": "M",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "PT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5310 SHERIDAN DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WILLIAMSVILLE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "14221-3501",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "716-565-0950",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "462 GRIDER ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BUFFALO",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "14215-3021",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "716-898-3285",
    "PracticeLocationAddressFaxNumber": "716-898-3259",
    "EnumerationDate": "01/04/2007",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "012790-1",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.