Individual provider Active NPI

Jeremy Reinhardt, PT

  • Physical Therapist
  • Cheektowaga, NY
National Provider Identifier
1164808549
Registry record updated Aug 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
039140 Issued in NY
Practice address
7 Community Dr
Cheektowaga, NY 14225-2523
Phone
(716) 505-5634
Fax
(716) 505-5654
NPI assigned
Aug 7, 2015
Last updated
Aug 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2015

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 039140 NY Primary

Addresses

Primary practice location

7 Community Dr
Cheektowaga, NY 14225-2523

Mailing address

7 Community Dr
Cheektowaga, NY 14225-2523
Phone (716) 505-5634

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150908001987 NY Practitioner - Physical Therapist in Private Practice 4981910809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspire of Western New York IncGroup PAC ID 6507759230, 26 clinicians

Practice addresses (Care Compare)

2643 Main St
Buffalo, NY 14214-2015
Phone (716) 529-3087

7 Community Dr
Cheektowaga, NY 14225-2523
Phone (716) 505-5655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039140NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire of Western New York Inc. CurrentSince Aug 10, 2015 Accepting new patients

Locations

7 Community Dr
Cheektowaga, NY 14225
Phone (716) 505-5630

2356 N Forest Rd
Getzville, NY 14068
Phone (716) 505-5560

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, 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": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1164808549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 COMMUNITY DR",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142252523",
            "telephone_number": "716-505-5634",
            "fax_number": "716-505-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 COMMUNITY DR",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142252523",
            "telephone_number": "716-505-5634",
            "fax_number": "716-505-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINHARDT",
        "first_name": "JEREMY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.