Individual provider Active NPI

Anthony Joseph Sterlace Jr., PT, DPT

  • Physical Therapist
  • Hamburg, NY
National Provider Identifier
1225315864
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
034424 Issued in NY
Practice address
3040 Amsdell Rd
Hamburg, NY 14075-5835
Phone
(716) 649-0444
Fax
(716) 649-0420
NPI assigned
Nov 10, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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 034424 NY Primary

Addresses

Primary practice location

3040 Amsdell Rd
Hamburg, NY 14075-5835

Mailing address

3040 Amsdell Rd
Hamburg, NY 14075-5835
Phone (716) 649-0444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130315000364 NY Practitioner - Physical Therapist in Private Practice 4183869365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brierwood Physical Therapy, P.C.Group PAC ID 7315246931, 3 clinicians

Practice addresses (Care Compare)

3040 Amsdell Rd
Suite 207B
Hamburg, NY 14075-5835
Phone (716) 649-0444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brierwood Physical Therapy, P.C. Physical Therapist CurrentSince May 1, 2016 Accepting new patients

Locations

3040 Amsdell Rd
Ste 207B
Hamburg, NY 14075
Phone (716) 649-0444

3040 Amsdell Rd
Hamburg, NY 14075
Phone (716) 646-6700

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1225315864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 AMSDELL RD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140755835",
            "telephone_number": "716-649-0444",
            "fax_number": "716-649-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 AMSDELL RD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140755835",
            "telephone_number": "716-649-0444",
            "fax_number": "716-649-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERLACE",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.