Fredonia Physical Therapy, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

01365-01 Issued in NY

Legal business name

FREDONIA PHYSICAL THERAPY, PLLC

Practice address

12 Brigham Rd
Fredonia, NY 14063-1000

Phone

(716) 679-7447

Fax

(716) 679-7446

NPI assigned

Sep 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Randall A Vincek, PTNPI 1427007178

Title

Owner

Phone

(716) 679-7447

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 7

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.

• Randall Vincek, PT, OCS

  • Physical Therapist
  • Fredonia, NY
  • NPI 1427007178
  Medicare reassignment Care Compare group NPD Authorized official
• Leanne Homza

  • Physical Therapist
  • Jamestown, NY
  • NPI 1700216702
  Medicare reassignment Care Compare group NPD
• Christine Vincek, PT, DPT, OCS

  • Physical Therapist
  • Fredonia, NY
  • NPI 1538118187
  Medicare reassignment Care Compare group NPD
• Briana Janes, PT, DPT

  • Physical Therapist
  • Orchard Park, NY
  • NPI 1174341374
  Medicare reassignment NPD
• Andrew Mark Vincek, PT, DPT

  • Physical Therapist
  • Fredonia, NY
  • NPI 1700604741
  Medicare reassignment NPD
• Bradley Rinehart, PT

  • Physical Therapist
  • Fredonia, NY
  • NPI 1104875236
  NPD
• Helen Carreras-Suchanick, D.O.

  • Family Medicine Physician
  • Dunkirk, NY
  • NPI 1013986256
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235230343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BRIGHAM RD",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631000",
            "telephone_number": "716-679-7447",
            "fax_number": "716-679-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BRIGHAM RD",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631000",
            "telephone_number": "716-679-7447",
            "fax_number": "716-679-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDONIA PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VINCEK",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-679-7447",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "01365-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Edward Fortna, DMD
• Julie Lynn Fortner, MSED
• Cara Lynn Frame, M.S. CCC-SLP
• Fredonia Central School District
• Fredonia Pediatric and Adolescent Dentistry PLLC
• Christine G Gerber, M.S./CCC-SLP
• Ggg61 Corp (Concord Pharmacy)
• Ggg61 Corp (Concord Pharmacy)
• Gregory G Giambrone, RPH
• Garrett Gibson, PTA

• Physical Therapist in Fredonia, NY
• Providers in Fredonia, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.