Organization Active NPI

Nickel City Physical Therapy P.C.

  • Physical Therapy Clinic/Center
  • Williamsville, NY
National Provider Identifier
1184143844
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
033023-1 Issued in NY
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Myles W Rowan IV, PT, DPTNPI 1467738591
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20180420001101 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6103189329 Receives reassigned benefits from 2 practitioners
Practice locations: Williamsville, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.