Individual provider Active NPI

Jessica A Vaeth, MSPT

  • Physical Therapist
  • Lockport, NY
National Provider Identifier
1245489343
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027758 Issued in NY
Practice address
14 Cherry St
Lockport, NY 14094-4718
Phone
(716) 628-6941
NPI assigned
Sep 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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 027758 NY Primary

Addresses

Primary practice location

14 Cherry St
Lockport, NY 14094-4718

Mailing address

14 Cherry St
Lockport, NY 14094-4718

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201102001421 NY Practitioner - Physical Therapist in Private Practice 5597175653 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027758NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Hearing & Speech Center, Inc CurrentSince May 27, 2020 Accepting new patients

Locations

50 E North St
Buffalo, NY 14203
Phone (716) 885-8318

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": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1245489343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CHERRY ST",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140944718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CHERRY ST",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140944718",
            "telephone_number": "716-628-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAETH",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-12",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.