Active NPI
Nicholas Michael Smith, DPT, ATC
- Physical Therapist
- West Seneca, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 035839
- Practice address
- 425 Meyer Rd
West Seneca, NY 14224-1954 - Phone
- (716) 677-4022
- NPI assigned
- Mar 14, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0011807 | NY | |
| Physical Therapy Clinic/Center | 261QP2000X | 035839 | NY | |
| Physical Therapist | 225100000X | 035839 | NY | Primary |
Addresses
Primary practice location
425 Meyer Rd
West Seneca, NY 14224-1954
Mailing address
425 Meyer Rd
West Seneca, NY 14224-1954
Phone (716) 677-4022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
425 Meyer Rd
West Seneca, NY 14224-1954
Phone (716) 563-4811
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035839 | NY | MD | General Practice Dentistry |
| 0011807 | NY | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New York Fitness Rehabilitation, PT, PLLC | Physical Therapy | Current | Accepting new patients |
| Advanced Care Physical Therapy Aquatics and Fitness PC | Physical Therapist | Current | Accepting new patients |
| Western New York Fitness Rehabilitation, PT, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
6000 Brockton Dr
Ste 107
Lockport, NY 14094
Phone (716) 201-1049
924 Main St
Niagara Falls, NY 14301
425 Meyer Rd
West Seneca, NY 14224
Phone (716) 563-4811
15 S Forest Rd
Williamsville, NY 14221
Phone (716) 204-8734
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- West Seneca, NY
- NPI 1891391199
Physical Therapist
-
- Physical Therapist
- Niagara Falls, NY
- NPI 1891883385
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Williamsville, NY
- NPI 1982878864
-
- Physical Therapy Clinic/Center
- West Seneca, NY
- NPI 1447863824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1093056103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 MEYER RD",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142241954",
"telephone_number": "716-677-4022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 MEYER RD",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142241954",
"telephone_number": "716-677-4022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "NICHOLAS",
"middle_name": "MICHAEL",
"credential": "DPT, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-14",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "0011807",
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "035839",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "035839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Seneca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.