Individual provider Active NPI

Jaelah A Meyerhofer, PT, DPT

  • Physical Therapist
  • Depew, NY
National Provider Identifier
1093406605
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
6301 Transit Rd
Depew, NY 14043-1051
Phone
(716) 680-0400
NPI assigned
May 16, 2023
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

6301 Transit Rd
Depew, NY 14043-1051

Mailing address

42 Saint Lucian CT
Cheektowaga, NY 14225-2248
Phone (716) 901-2033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230823001573 NY Practitioner - Physical Therapist in Private Practice 4880057942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6301 Transit Rd
Suite a
Depew, NY 14043-1051
Phone (716) 684-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Physical and Occupational Therapy Group PLLC Physical Therapist CurrentSince Jul 26, 2023 Accepting new patients
Western New York PT Group PC Physical Therapist PastSince May 21, 2023 Accepting new patients

Locations

12399 Olean Rd
Ste B
Chaffee, NY 14030
Phone (716) 496-5550

6301 Transit Rd
Depew, NY 14043
Phone (716) 684-0400

6301 Transit Rd
#A
Depew, NY 14043
Phone (716) 684-0400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1093406605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 SAINT LUCIAN CT",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142252248",
            "telephone_number": "716-901-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140431051",
            "telephone_number": "716-680-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERHOFER",
        "first_name": "JAELAH",
        "middle_name": "A",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-16",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Depew, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.

Verify at the official NPI Registry.