Individual provider Active NPI

Kathryn Elizabeth Witkowski, PT, DPT

  • Physical Therapist
  • Kenmore, NY
National Provider Identifier
1063249605
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
052917 Issued in NY
Practice address
2075 Sheridan Dr
Kenmore, NY 14223-1425
Phone
(716) 803-8220
NPI assigned
Sep 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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 052917 NY Primary

Addresses

Primary practice location

2075 Sheridan Dr
Kenmore, NY 14223-1425

Mailing address

85 Old Lyme Dr Apt 1
Williamsville, NY 14221-2273
Phone (585) 656-9318

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250418001048 NY Practitioner - Physical Therapist in Private Practice 1557886819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York at Buffalo School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Susan E Bennett PT PCGroup PAC ID 9133149925, 11 clinicians

Practice addresses (Care Compare)

40 George Karl Boulevard E
Williamsville, NY 14221-7100
Phone (716) 803-8220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
052917NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Susan E Bennett PT PC CurrentSince Feb 14, 2025 Accepting new patients

Locations

3352 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 662-2922

2075 Sheridan Dr
Tonawanda, NY 14223
Phone (716) 417-6388

2075 Sheridan Dr
Ste D
Tonawanda, NY 14223
Phone (716) 803-8220

40 George Karl Blvd
Ste E
Williamsville, NY 14221
Phone (716) 803-8220

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": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1063249605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 OLD LYME DR APT 1",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212273",
            "telephone_number": "585-656-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 SHERIDAN DR",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142231425",
            "telephone_number": "716-803-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITKOWSKI",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.

Verify at the official NPI Registry.