Impulse Physical Therapy, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

IMPULSE PHYSICAL THERAPY, PLLC

Practice address

5087 Broadway Ste 100
Depew, NY 14043-4013

Phone

(716) 354-3212

Fax

(716) 503-2260

NPI assigned

Jan 5, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Alexander Paul Peters, PT, DPT, SCS, ATCNPI 1043738446

Title

Owner

Phone

(716) 202-2477

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexander Paul Peters, PT, DPT, SCS, ATC

  • Physical Therapist
  • Depew, NY
  • NPI 1043738446
  NPD Authorized official
• Kathryn Piraino

  • Physical Therapist
  • Depew, NY
  • NPI 1700460458
  NPD

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1083328934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 763",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142310763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5087 BROADWAY STE 100",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434013",
            "telephone_number": "716-354-3212",
            "fax_number": "716-503-2260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1051 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Lockport",
            "state": "NY",
            "postal_code": "140946142",
            "country_code": "US",
            "telephone_number": "716-354-3212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1829 Main Street",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "14208",
            "country_code": "US",
            "telephone_number": "716-354-3212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMPULSE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-202-2477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, SCS, ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark E Howard, P.T.,D.P.T.,O.C.S.
• Laurie Hubbard, ED.M.
• Bailey K Huber, DPT
• Alicia Elizabeth Hulme, DDS
• Samantha Marie Hurysz, NP
• Matthew J Insley, PA
• Ericka Irizarry, MD
• Sara Catherine Izzio, DPT
• Katie Jagodzinski
• Aleksandra Victoria Jakobsze

• Physical Therapist in Depew, NY
• Providers in Depew, 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 Dec 29, 2023; 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.