Individual provider Active NPI

Kimberly Ann Schillace, PHYSICAL THERAPIST

  • Physical Therapist
  • Buffalo, NY
National Provider Identifier
1023348273
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
017970 Issued in NY
Practice address
2128 Elmwood Ave
Buffalo, NY 14207-1910
Phone
(716) 874-4500
Fax
(716) 874-3195
NPI assigned
Jan 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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 017970 NY Primary

Addresses

Primary practice location

2128 Elmwood Ave
Buffalo, NY 14207-1910

Mailing address

206 Ideal St
Buffalo, NY 14206-1121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
People Inc. CurrentSince Jul 21, 2024 Accepting new patients

Locations

2128 Elmwood Ave
Buffalo, NY 14207
Phone (716) 874-4500

800 Hertel Ave
Ste 104
Buffalo, NY 14207

800 Hertel Ave
#101
Buffalo, NY 14207
Phone (716) 566-5007

800 Hertel Ave
Ste 101
Buffalo, NY 14207
Phone (716) 566-5007

1219 N Forest Rd
Williamsville, NY 14221
Phone (716) 634-8152

Organizations & group practices 1

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": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1023348273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 IDEAL ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142061121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 ELMWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142071910",
            "telephone_number": "716-874-4500",
            "fax_number": "716-874-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILLACE",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-12",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.