Individual provider Active NPI

Amanda Klubek

  • Physical Therapist
  • West Seneca, NY
National Provider Identifier
1134903008
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
50807 Issued in NY
Practice address
425 Meyer Rd
West Seneca, NY 14224-1954
Phone
(716) 677-4022
Fax
(716) 217-6332
NPI assigned
Aug 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 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 50807 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

Other practice location 1

4635 Union Rd
Cheektowaga, NY 14225-1851
Phone (716) 505-5700

Other practice location 2

6875 Transit Rd
East Amherst, NY 14051-1202
Phone (716) 677-4022

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240627000617 NY Practitioner - Physical Therapist in Private Practice 5890239255 Reassigns benefits to 2 organizations

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
Western New York Fitness Rehabilitation PT PLLCGroup PAC ID 4082011275, 10 clinicians

Practice addresses (Care Compare)

6875 Transit Rd
East Amherst, NY 14051-1202
Phone (716) 677-4022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50807NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Fitness Rehabilitation, PT, PLLC CurrentSince May 28, 2025 Accepting new patients
Western New York Fitness Rehabilitation, PT, PLLC Physical Therapist CurrentSince May 28, 2025 Accepting new patients
Excelsior Orthopaedics, LLP CurrentSince Jul 8, 2024 Accepting new patients
Excelsior Orthopaedics LLP Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients
Aspire Wny PastSince Sep 1, 2023 Accepting new patients
Aspire Wny PastSince Sep 1, 2023 Accepting new patients

Locations

3925 Sheridan Dr
Buffalo, NY 14226
Phone (716) 250-6500

425 Meyer Rd
West Seneca, NY 14224
Phone (716) 563-4811

Interoperability endpoints

  • Direct secure messaging: aklubek@excelsiorortho.medentdirect.com

Organizations & group practices 6

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": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1134903008",
    "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",
            "fax_number": "716-217-6332"
        },
        {
            "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",
            "fax_number": "716-217-6332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4635 Union Rd",
            "address_purpose": "LOCATION",
            "city": "Cheektowaga",
            "state": "NY",
            "postal_code": "142251851",
            "country_code": "US",
            "telephone_number": "716-505-5700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6875 Transit Rd",
            "address_purpose": "LOCATION",
            "city": "East Amherst",
            "state": "NY",
            "postal_code": "140511202",
            "country_code": "US",
            "telephone_number": "716-677-4022",
            "fax_number": "716-217-6332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLUBEK",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "50807",
            "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 Jul 1, 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.