Northtown Physical Therapy, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

012083 Issued in NY

Legal business name

NORTHTOWN PHYSICAL THERAPY, P.C.

Practice address

5225 Sheridan Dr
Williamsville, NY 14221-3573

Phone

(716) 631-2626

Fax

(716) 631-2937

NPI assigned

Dec 1, 2010

Last updated

Dec 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ann M Desotelle, M.S., P.T.NPI 1831220623

Title

Owner/Physical Therapist

Phone

(716) 631-2626

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Ann M Desotelle, MS PT

  • Physical Therapist
  • Williamsville, NY
  • NPI 1831220623
  Authorized official Same address or phone

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1003118746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 SHERIDAN DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213573",
            "telephone_number": "716-631-2626",
            "fax_number": "716-631-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 SHERIDAN DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213573",
            "telephone_number": "716-631-2626",
            "fax_number": "716-631-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHTOWN PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "DESOTELLE",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "716-631-2626",
        "authorized_official_credential": "M.S., P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia Norman, LPN
• Karle William Norman
• Christina Marie Norris, RPA-C
• Northeast Ambulatory Anesthesia PLLC
• Northtown Buffalo Physical Therapy PLLC
• Northtowns Ambulatory Surgery Center, LLC
• Northtowns Imaging PC
• Northtowns Imaging PC
• Northtowns Imaging PC
• Northtowns Imaging PC

• Physical Therapist in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.