Active NPI
Nickel City Physical Therapy P.C.
- Physical Therapy Clinic/Center
- Williamsville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 033023-1
- Legal business name
- NICKEL CITY PHYSICAL THERAPY P.C.
- Practice address
- 6255 Sheridan Dr Ste 100
Williamsville, NY 14221-4825 - Phone
- (716) 689-6278
- NPI assigned
- Sep 13, 2017
- Last updated
- Jan 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Myles W Rowan IV, PT, DPT
- Title
- Owner / Physical Therapist
- Phone
- (716) 689-6278
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 033023-1 | NY | Primary |
Addresses
Primary practice location
6255 Sheridan Dr Ste 100
Williamsville, NY 14221-4825
Mailing address
6255 Sheridan Dr Ste 100
Williamsville, NY 14221-4825
Phone (716) 689-6278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1150 Youngs Rd
Ste 210
Williamsville, NY 14221
Phone (716) 689-6278
6255 Sheridan Dr
Ste 100
Williamsville, NY 14221
Phone (716) 320-0237
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Physical Therapy Clinic/Center
- Williamsville, NY
- NPI 1467738591
-
- Physical Therapist
- Williamsville, NY
- NPI 1346076718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704931200000",
"number": "1184143844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6255 SHERIDAN DR STE 100",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142214825",
"telephone_number": "716-689-6278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6255 SHERIDAN DR STE 100",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142214825",
"telephone_number": "716-689-6278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICKEL CITY PHYSICAL THERAPY P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-13",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A",
"authorized_official_last_name": "ROWAN",
"authorized_official_first_name": "MYLES",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER / PHYSICAL THERAPIST",
"authorized_official_telephone_number": "716-689-6278",
"authorized_official_name_suffix": "IV",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "033023-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.