Organization Active NPI

Niagara Physical Therapy PC

  • Physical Therapist
  • Lewiston, NY
National Provider Identifier
1154549756
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011771-1 Issued in NY
Legal business name
NIAGARA PHYSICAL THERAPY PC
Practice address
732 Cayuga St
Lewiston, NY 14092-1721
Phone
(716) 754-7220
Fax
(716) 754-9218
NPI assigned
Apr 22, 2007
Last updated
Mar 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Dr. Steven Doermer, PT, DPTNPI 1851720361
Title
Physical Therapist
Phone
(716) 754-7220

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 20224970 NY
Physical Therapist 225100000X 011771-1 NY Primary

Addresses

Primary practice location

732 Cayuga St
Lewiston, NY 14092-1721

Mailing address

732 Cayuga St
Lewiston, NY 14092-1721
Phone (716) 754-7220

Other practice location 1

2399 Grand Island Blvd
Grand Island, NY 14072-3114
Phone (716) 773-3300

Other practice location 2

2099 Grand Island Blvd Ste B
Grand Island, NY 14072-2266
Phone (716) 773-3300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050601000195 NY Part B Supplier - Clinic/Group Practice 8628010626 Receives reassigned benefits from 3 practitioners
Practice locations: Grand Island, NY

National Provider Directory

National Provider Directory

Locations

2399 Grand Island Blvd
Grand Island, NY 14072
Phone (716) 773-3300

732 Cayuga St
Lewiston, NY 14092
Phone (716) 754-7220

736 Cayuga St
Lewiston, NY 14092
Phone (716) 754-7220

Practitioners & affiliated clinicians

Practitioners 6

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": "1177200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1154549756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 CAYUGA ST",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921721",
            "telephone_number": "716-754-7220",
            "fax_number": "716-754-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 CAYUGA ST",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921721",
            "telephone_number": "716-754-7220",
            "fax_number": "716-754-9218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2399 Grand Island Blvd",
            "address_purpose": "LOCATION",
            "city": "Grand Island",
            "state": "NY",
            "postal_code": "140723114",
            "country_code": "US",
            "telephone_number": "716-773-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2099 Grand Island Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Grand Island",
            "state": "NY",
            "postal_code": "140722266",
            "country_code": "US",
            "telephone_number": "716-773-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NIAGARA PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-22",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "DOERMER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "716-754-7220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "20224970",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011771-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.