Active NPI
Thomas Wade Danat Jr., PT, DPT
- Physical Therapist
- North Tonawanda, NY
National Provider Identifier
1023494374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 62039105
- Practice address
- 573 Mazda Ter Uppr
North Tonawanda, NY 14120-6212 - Phone
- (716) 418-2428
- NPI assigned
- Aug 9, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 62039105 | NY | Primary |
Addresses
Primary practice location
573 Mazda Ter Uppr
North Tonawanda, NY 14120-6212
Mailing address
3350 Southwestern Blvd
Orchard Park, NY 14127-1524
Phone (716) 690-2051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- State University of New York at Buffalo School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
21 Persia St
Suite 101
Buffalo, NY 14211-3203
Phone (716) 839-8218
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039105 | NY | MD | Pharmacist |
| 62039105 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daemen University Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Buffalo Rehab Group Physical Therapy and Occupational Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
4380 Main St
Ste DS106
Amherst, NY 14226
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Buffalo, NY
- NPI 1336584473
Physical Therapist
-
- Physical Therapist
- West Seneca, NY
- NPI 1548290943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1023494374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 SOUTHWESTERN BLVD",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271524",
"telephone_number": "716-690-2051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "573 MAZDA TER UPPR",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141206212",
"telephone_number": "716-418-2428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANAT",
"first_name": "THOMAS",
"middle_name": "WADE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-09",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "62039105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.