Active NPI
Elizabeth Stom, MSPT
- Physical Therapist
- Buffalo, NY
National Provider Identifier
1205082906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 022051-1
- Practice address
- 51 St, John'S Parkside
Baker Victory Services
Buffalo, NY 14210 - Phone
- (716) 828-9325
- NPI assigned
- Aug 13, 2008
- Sex
- Female
- 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 | 022051-1 | NY | Primary |
Addresses
Primary practice location
51 St, John'S Parkside
Baker Victory Services
Buffalo, NY 14210
Mailing address
51 St, John'S Parkside
Baker Victory Services
Buffalo, NY 14210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022051-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218585600000",
"number": "1205082906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 ST, JOHN'S PARKSIDE",
"address_2": "BAKER VICTORY SERVICES",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 ST, JOHN'S PARKSIDE",
"address_2": "BAKER VICTORY SERVICES",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14210",
"telephone_number": "716-828-9325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOM",
"first_name": "ELIZABETH",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-13",
"last_updated": "2008-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "022051-1",
"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 Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.