Individual provider Active NPI

Brian M Piekarski, PT

  • Physical Therapist
  • Tonawanda, NY
National Provider Identifier
1255338133
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
017798-1 Issued in NY
Practice address
350 Greenhaven Terrace
Tonawanda, NY 14150-5547
Phone
(716) 213-0772
Fax
(716) 213-0773
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT008075 GA
Physical Therapist 225100000X 017798-1 NY Primary

Addresses

Primary practice location

350 Greenhaven Terrace
Tonawanda, NY 14150-5547

Mailing address

350 Greenhaven Terrace
Tonawanda, NY 14150-5547
Phone (716) 213-0772

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
017798-1NYMDPsychologist
017798NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York PT Group PC Physical Therapist Past Accepting new patients
Western New York Physical and Occupational Therapy Group PLLC Physical Therapist PastSince Jan 1, 1999 Accepting new patients

Organizations & group practices 2

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243555200000",
    "number": "1255338133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 GREENHAVEN TERRACE",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141505547",
            "telephone_number": "716-213-0772",
            "fax_number": "716-213-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 GREENHAVEN TERRACE",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141505547",
            "telephone_number": "716-213-0772",
            "fax_number": "716-213-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIEKARSKI",
        "first_name": "BRIAN",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2009-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008075",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017798-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.