MEDICARE: JOELLA A MCLAURIN DPT, PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	053050-01	NY

General Provider Information

NPI Number	:	1992637250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOELLA A MCLAURIN DPT, PT

Provider Business Mailing Address
First Line	:	153 HAMILTON DR
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14226-4740
Country	:	US
Telephone Number	:	716-331-1671
Fax Number	:

Provider Business Practice Location Address
First Line	:	3925 SHERIDAN DR
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14226-1738
Country	:	US
Telephone Number	:	716-250-9999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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