Individual provider Active NPI

Paul William Gurgol, PT

  • Physical Therapist
  • Depew, NY
National Provider Identifier
1144276304
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
001335-1 Issued in NY
Practice address
5102 Transit Rd
Depew, NY 14043-4465
Phone
(716) 683-9310
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 001335-1 NY Primary

Addresses

Primary practice location

5102 Transit Rd
Depew, NY 14043-4465

Mailing address

5102 Transit Rd
Depew, NY 14043-4465
Phone (716) 683-9310

Other identifiers 1

IdentifierTypeStateIssuer
9309229OtherNYINDEPENDANT HEALTH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111110000020 NY Practitioner - Physical Therapist in Private Practice 4284699315 Reassigns benefits to 2 organizations
Practice locations: Attica, NY; Akron, NY; Warsaw, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western New York Performance Physical Therapy PLLCGroup PAC ID 1254773716, 5 clinicians

Practice addresses (Care Compare)

56 Main St
Akron, NY 14001-1240
Phone (585) 591-3082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016335NYMDClinical Psychologist
001335-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Care Physical Therapy Aquatics and Fitness PC Physical Therapist CurrentSince Jul 12, 2021 Accepting new patients
Western New York Performance Physical Therapy PLLC Physical Therapist CurrentSince Jul 15, 2024 Accepting new patients

Locations

56 Main St
Akron, NY 14001
Phone (585) 591-3082

120 Prospect St
Attica, NY 14011
Phone (585) 484-9564

924 Main St
Niagara Falls, NY 14301

2333 State Route 19 N
Warsaw, NY 14569
Phone (585) 484-9564

15 S Forest Rd
Williamsville, NY 14221
Phone (716) 204-8734

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1144276304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434465",
            "telephone_number": "716-683-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434465",
            "telephone_number": "716-683-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURGOL",
        "first_name": "PAUL",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "001335-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDANT HEALTH",
            "identifier": "9309229",
            "state": "NY"
        }
    ],
    "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 Jul 13, 2026; 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.