Active NPI
Jeannethe King
- Physical Therapist
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 039287
- Practice address
- 34 Benwood Ave
Buffalo, NY 14214-1761 - Phone
- (716) 986-9199
- Fax
- (716) 961-7425
- NPI assigned
- Aug 17, 2015
- Sex
- Female
- 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 | 039287 | NY | Primary |
Addresses
Primary practice location
34 Benwood Ave
Buffalo, NY 14214-1761
Mailing address
34 Benwood Ave
Buffalo, NY 14214-1761
Phone (716) 986-9199
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
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3925 Sheridan Dr
Amherst, NY 14226-1738
Phone (716) 250-9999
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.79 of 100
- Quality
- 89.94
- Promoting interoperability
- 88
- Improvement activities
- 40
- Cost
- 82.5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039287 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excelsior Orthopaedics, LLP | Current | Accepting new patients | |
| Excelsior Orthopaedics LLP | Physical Therapist | Current | Accepting new patients |
Locations
3925 Sheridan Dr
Buffalo, NY 14226
Phone (716) 250-6500
438 Main St
Ste 103
Buffalo, NY 14202
Phone (716) 250-6500
8750 Transit Rd
Ste 105
East Amherst, NY 14051
Phone (716) 636-1470
260 Red Tail Rd
Orchard Park, NY 14127
Phone (716) 675-5711
Interoperability endpoints
- jking@excelsiorortho.medentdirect.com
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.
-
- Orthopaedic Surgery Physician
- Amherst, NY
- NPI 1831196757
Physical Therapist
-
- Orthopaedic Surgery Physician
- Amherst, NY
- NPI 1003058462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1043686801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 BENWOOD AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142141761",
"telephone_number": "716-986-9199",
"fax_number": "716-961-7425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 BENWOOD AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142141761",
"telephone_number": "716-986-9199",
"fax_number": "716-961-7425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JEANNETHE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-17",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "039287",
"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 Aug 12, 2026; 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.