Individual provider Active NPI

Michael S Brogan, PT, DPT, PHD

  • Physical Therapist
  • Cheektowaga, NY
National Provider Identifier
1013112929
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8222 Issued in NY
Practice address
2355 Union Rd
Cheektowaga, NY 14227-2234
Phone
(716) 825-1730
NPI assigned
Jun 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 8222 NY Primary

Addresses

Primary practice location

2355 Union Rd
Cheektowaga, NY 14227-2234

Mailing address

325 Potters Rd
Buffalo, NY 14220-2527

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071217000670 NY Practitioner - Physical Therapist in Private Practice 8426148214 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
8222NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Performance Physical Therapy PLLC Physical Therapist PastSince Mar 24, 2024 Accepting new patients
Contemporary Physical Therapy, PLLC Physical Therapist Past Accepting new patients
Buffalo Rehab Group Physical Therapy and Occupational Therapy PC Physical Therapist PastSince Dec 27, 2025 Accepting new patients
Step by Step Physical Therapy P.C. Physical Therapist PastSince Sep 23, 2013 Accepting new patients

Organizations & group practices 5

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013112929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 POTTERS RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142202527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 UNION RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142272234",
            "telephone_number": "716-825-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROGAN",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "8222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.