Kelvin Yam, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

052488 Issued in NY

Practice address

150 Tech Dr
Williamsville, NY 14221-3900

Phone

(716) 458-1990

NPI assigned

Jul 29, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Buffalo Rehab Group Physical Therapy and Occupational Therapy PC

  • Physical Therapist
  • West Seneca, NY
  • NPI 1548290943
  Medicare reassignment NPD

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724544000000",
    "number": "1033948195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 EMERSON DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142262122",
            "telephone_number": "631-805-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 TECH DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213900",
            "telephone_number": "716-458-1990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Emerson Dr",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142262122",
            "country_code": "US",
            "telephone_number": "631-805-0522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAM",
        "first_name": "KELVIN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-08-25",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy M Wynne, RN
• Xesus House of Prayer, Inc.
• Xesus Therapy Services
• Annie Han Xu, OT, LPN
• Molly Yager, LPN
• Min Yang, MD
• Donald Yates, R.N.
• Brandon Yax, DPT
• Gary Ye, LMSW
• Michael Yemma, LMT

• 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 Aug 25, 2024; 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.