Individual provider Active NPI

Jacob Woodrich, PT, DPT

  • Physical Medicine & Rehabilitation Physician
  • Hamburg, NY
National Provider Identifier
1114606860
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
050580 Issued in NY
Practice address
60 Main St
Hamburg, NY 14075-4905
Phone
(716) 456-8383
NPI assigned
Jul 11, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 050580 NY Primary

Addresses

Primary practice location

60 Main St
Hamburg, NY 14075-4905

Mailing address

2100 Union Rd
West Seneca, NY 14224-1400

Other practice location 1

4200 N Buffalo Rd
Orchard Park, NY 14127-2415
Phone (716) 456-8383

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230725002274 NY Practitioner - Physical Therapist in Private Practice 4981065802 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)

60 Main St
Suite 1
Hamburg, NY 14075-4905
Phone (716) 649-1618

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
050580NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Rehab Group Physical Therapy and Occupational Therapy PC CurrentSince Jul 11, 2023 Accepting new patients

Locations

8000 Box
Buffalo, NY 14267
Phone (716) 213-0772

3527 Union Rd
Cheektowaga, NY 14225
Phone (716) 503-4441

5190 Transit Rd
Depew, NY 14043
Phone (716) 651-0100

5589 Transit Rd
East Amherst, NY 14051
Phone (716) 568-1251

230 Main St
East Aurora, NY 14052
Phone (716) 333-8723

60 Main St
Hamburg, NY 14075
Phone (716) 529-3087

4901 Camp Rd
Ste 300
Hamburg, NY 14075
Phone (716) 464-1102

60 Main St
Ste 1
Hamburg, NY 14075
Phone (716) 649-1618

2760 Delaware Ave
Kenmore, NY 14217
Phone (716) 423-2262

4200 N Buffalo Rd
Orchard Park, NY 14127
Phone (716) 539-2900

2963 Sheridan Dr
Tonawanda, NY 14150
Phone (716) 245-6326

2100 Union Rd
West Seneca, NY 14224
Phone (716) 656-8600

40 George Karl Blvd
Ste 140
Williamsville, NY 14221
Phone (716) 458-1990

150 Tech Dr
Williamsville, NY 14221
Phone (716) 276-8300

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1114606860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MAIN ST",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754905",
            "telephone_number": "716-456-8383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4200 N Buffalo Rd",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141272415",
            "country_code": "US",
            "telephone_number": "716-456-8383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODRICH",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "050580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.