NPIMap

Organization Active NPI

T&M Physical Therapy PLLC Dba Lake Erie Physical Therapy

  • Physical Therapist
  • Buffalo, NY
National Provider Identifier
1225754708
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
T&M PHYSICAL THERAPY PLLC DBA LAKE ERIE PHYSICAL THERAPY
Practice address
531 Virginia Street Ste 1
Buffalo, NY 14202-1450
Phone
(716) 332-4838
Fax
(716) 882-1200
NPI assigned
Oct 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Tammy Ann Wutz
Title
Medical Billing/Credentialing
Phone
(716) 332-4838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

531 Virginia Street Ste 1
Buffalo, NY 14202-1450

Mailing address

531 Virginia Street Ste 1
Buffalo, NY 14202-1450
Phone (716) 332-4838

Other names 1

  • SportsFocus Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL WWW.FREEPT.COM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230412001581 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9032584677 Receives reassigned benefits from 2 practitioners
Practice locations: Buffalo, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1225754708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 VIRGINIA STREET STE 1",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021450",
            "telephone_number": "716-332-4838",
            "fax_number": "716-882-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 VIRGINIA STREET STE 1",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021450",
            "telephone_number": "716-332-4838",
            "fax_number": "716-882-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T&M PHYSICAL THERAPY PLLC DBA LAKE ERIE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2025-09-02",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "WUTZ",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MEDICAL BILLING/CREDENTIALING",
        "authorized_official_telephone_number": "716-332-4838"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WWW.FREEPT.COM",
            "affiliation": "N",
            "address_1": "531 Virginia St",
            "city": "Buffalo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142021405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SportsFocus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 2, 2025; 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.