Organization Active NPI

Beverly Stewart Physical Therapy

  • Physical Therapist
  • East Aurora, NY
National Provider Identifier
1083808356
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
002769 Issued in NY
Legal business name
BEVERLY STEWART PHYSICAL THERAPY
Practice address
1036 Olean Rd
East Aurora, NY 14052-9738
Phone
(716) 655-0165
Fax
(716) 655-4775
NPI assigned
Aug 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Gail Lindsley
Title
Billing Manager
Phone
(716) 655-0165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 002769 NY Primary

Addresses

Primary practice location

1036 Olean Rd
East Aurora, NY 14052-9738

Mailing address

1036 Olean Rd
East Aurora, NY 14052-9738
Phone (716) 655-0165

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1083808356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 OLEAN RD",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140529738",
            "telephone_number": "716-655-0165",
            "fax_number": "716-655-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 OLEAN RD",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140529738",
            "telephone_number": "716-655-0165",
            "fax_number": "716-655-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY STEWART PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "LINDSLEY",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "716-655-0165"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "002769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 30, 2007; 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.