Individual provider Active NPI

Yelena Kolysh, PT

  • Physical Therapist
  • Buffalo, NY
National Provider Identifier
1245318187
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025058-1 Issued in NY
Practice address
3101 Main St
Buffalo, NY 14214-1305
Phone
(716) 834-5635
Fax
(716) 831-8082
NPI assigned
Nov 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 025058-1 NY Primary

Addresses

Primary practice location

3101 Main St
Buffalo, NY 14214-1305

Mailing address

4 Partridge Run
Amherst, NY 14228-1013
Phone (716) 636-0646

Other identifiers 2

IdentifierTypeStateIssuer
000627339004OtherNYBC/BS
9395756OtherNYIHA

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

LicenseStateTypeSpecialty
25058NYMDPsychologist
025058-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
All Care Physical Therapy Services Physical Therapist Past Accepting new patients
Amherst Imaging Solutions, PLLC Past Accepting new patients
Kenmore Chiropractic PC Past Accepting new patients
Southwestern Testing Service, Inc. Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245318187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PARTRIDGE RUN",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142281013",
            "telephone_number": "716-636-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141305",
            "telephone_number": "716-834-5635",
            "fax_number": "716-831-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLYSH",
        "first_name": "YELENA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025058-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000627339004",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "9395756",
            "state": "NY"
        }
    ],
    "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.