Individual provider Active NPI

Jeremy Voorhees

  • Physical Therapist
  • Orchard Park, NY
National Provider Identifier
1235552183
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
022142 Issued in NY
Practice address
3669 Southwestern Blvd.
Mercy Ambulatory Care Center (Athleticare)
Orchard Park, NY 14127
Phone
(716) 828-2455
Fax
(716) 828-3561
NPI assigned
Jan 29, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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 022142 NY Primary

Addresses

Primary practice location

3669 Southwestern Blvd.
Mercy Ambulatory Care Center (Athleticare)
Orchard Park, NY 14127

Mailing address

3669 Southwestern Blvd.
Mercy Ambulatory Care Center (Athleticare)
Orchard Park, NY 14127
Phone (716) 828-2455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220519000986 NY Practitioner - Physical Therapist in Private Practice 2264819986 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cardio Physical Therapy PLLC Physical Therapist CurrentSince Apr 22, 2022 Accepting new patients

Locations

8705 Sheridan Dr
Williamsville, NY 14221
Phone (716) 276-0556

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": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1235552183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3669 SOUTHWESTERN BLVD.",
            "address_2": "MERCY AMBULATORY CARE CENTER (ATHLETICARE)",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "14127",
            "telephone_number": "716-828-2455",
            "fax_number": "716-828-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3669 SOUTHWESTERN BLVD.",
            "address_2": "MERCY AMBULATORY CARE CENTER (ATHLETICARE)",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "14127",
            "telephone_number": "716-828-2455",
            "fax_number": "716-828-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOORHEES",
        "first_name": "JEREMY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.