Organization Active NPI

Siergiej Physical Therapy

  • Physical Therapy Clinic/Center
  • Buffalo, NY
National Provider Identifier
1104572395
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SIERGIEJ PHYSICAL THERAPY
Practice address
167 Ashland Ave
Buffalo, NY 14222-1989
Phone
(716) 444-2345
NPI assigned
Feb 25, 2022
Last updated
Aug 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Mr. Andrew Siergiej, PTNPI 1124541990
Title
PT
Phone
(716) 444-2345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

167 Ashland Ave
Buffalo, NY 14222-1989

Mailing address

67 Le Havre Dr
Cheektowaga, NY 14227-2411
Phone (716) 444-2345

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1104572395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 LE HAVRE DR",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142272411",
            "telephone_number": "716-444-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 ASHLAND AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142221989",
            "telephone_number": "716-444-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERGIEJ PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "SIERGIEJ",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "716-444-2345",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.