Active NPI
Andrew Bartz
- Physical Therapist
- Buffalo, NY
National Provider Identifier
1144834433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 046010
- Practice address
- 656 Elmwood Ave
Buffalo, NY 14222-1836 - Phone
- (716) 883-0515
- Fax
- (716) 883-8764
- NPI assigned
- Sep 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 046010 | NY | Primary |
Addresses
Primary practice location
656 Elmwood Ave
Buffalo, NY 14222-1836
Mailing address
109 Angelacrest LN
West Seneca, NY 14224-3819
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
656 Elmwood Ave
Buffalo, NY 14222-1836
Phone 7168830515229
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046010 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul Dejac Physician PC | Current | Accepting new patients | |
| Cantalician Center for Learning, Inc. | Past | Accepting new patients |
Locations
656 Elmwood Ave
Buffalo, NY 14222
Phone (716) 204-7458
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.
-
- Physical Medicine & Rehabilitation Physician
- Buffalo, NY
- NPI 1548971831
-
- Early Intervention Provider Agency
- Depew, NY
- NPI 1174789242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1144834433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 ANGELACREST LN",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142243819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "656 ELMWOOD AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142221836",
"telephone_number": "716-883-0515",
"fax_number": "716-883-8764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTZ",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-03",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "046010",
"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 Sep 27, 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.