Active NPI
Kaiser Physical Therapy PC
- Physical Therapist
- East Aurora, NY
National Provider Identifier
1083694145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6160
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00020087901 | Other | NY | UNIV |
| 002084681 | Other | NY | BCBS |
| AA1030 | Other | NY | MEDICARE ID- TYPE UNSPECIFIED |
| 006084683 | Other | NY | BCBS |
| 9303777 | Other | NY | IA |
Other names 1
- The Source for Health & Well Living
National Provider Directory
National Provider DirectoryLocations
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.