Stephanie Daley
Individual provider Active NPI Specialist · Alden, NY
NPI 1003246679 · NPPES record last updated Jun 11, 2019
Key facts
- NPI
- 1003246679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 037140 (NY)
- Practice address
- 12845 Broadway St Ste 2
Alden, NY 14004-1223 - Phone
- (716) 902-5068
- NPI assigned
- Nov 19, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alden Physical Therapy, PC
Practice addresses (Care Compare)
12845 Broadway St
Suite 2
Alden, NY 14004-1223
Phone (716) 902-5068
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140324000155 | NY | Practitioner - Physical Therapist in Private Practice | 0042441776 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alden Physical Therapy, PC | Current |
Accepting new patients |
Locations
12845 Broadway St
#2
Alden, NY 14004
Phone (716) 902-5068
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 037140 | NY | Yes |
Addresses
Primary practice location
12845 Broadway St Ste 2
Alden, NY 14004-1223
Mailing address
12845 Broadway St Ste 2
Alden, NY 14004-1223
Phone (171) 690-2506
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12625333 | Other | NY | CAQH |
Other providers in Alden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2019. 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.