Organization Active NPI

Kaiser Physical Therapy PC

  • Physical Therapist
  • East Aurora, NY
National Provider Identifier
1083694145
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6160 Issued in NY
Legal business name
KAISER PHYSICAL THERAPY PC
Practice address
121 Elm St
East Aurora, NY 14052-2535
Phone
(716) 652-1803
Fax
(716) 652-1951
NPI assigned
Jan 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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

Authorized official

Name
Dr. Seth Alan Kaiser, DC PT
Title
Owner and President
Phone
(716) 652-1803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 6160 NY Primary

Addresses

Primary practice location

121 Elm St
East Aurora, NY 14052-2535

Mailing address

121 Elm St
East Aurora, NY 14052-2535
Phone (716) 652-1803

Other identifiers 5

IdentifierTypeStateIssuer
00020087901OtherNYUNIV
002084681OtherNYBCBS
AA1030OtherNYMEDICARE ID- TYPE UNSPECIFIED
006084683OtherNYBCBS
9303777OtherNYIA

Other names 1

  • The Source for Health & Well Living Other name

National Provider Directory

National Provider Directory

Locations

121 Elm St
East Aurora, NY 14052
Phone (716) 652-1803

1520 Maple Rd
Williamsville, NY 14221
Phone (716) 688-9020

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1083694145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 ELM ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522535",
            "telephone_number": "716-652-1803",
            "fax_number": "716-652-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 ELM ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522535",
            "telephone_number": "716-652-1803",
            "fax_number": "716-652-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER AND PRESIDENT",
        "authorized_official_telephone_number": "716-652-1803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "6160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIV",
            "identifier": "00020087901",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "002084681",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID- TYPE UNSPECIFIED",
            "identifier": "AA1030",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "006084683",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA",
            "identifier": "9303777",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Source for Health & Well Living",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in East Aurora, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.