Active NPI
Pediatrics & Aquatic Therapy
- Early Intervention Provider Agency
- Amherst, NY
National Provider Identifier
1255973145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- PEDIATRICS & AQUATIC THERAPY
- Practice address
- 1590 Hopkins Rd
Amherst, NY 14221-1750 - Phone
- (716) 480-7679
- NPI assigned
- Oct 11, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Megon Gachette, PHYSICAL THERAPY
- Title
- Physical Therapist
- Phone
- (716) 480-7679
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
1590 Hopkins Rd
Amherst, NY 14221-1750
Mailing address
46 Bame Ave
Buffalo, NY 14215-1302
Phone (716) 480-7679
Other names 1
- Pediatrics & Aquatic therapy
National Provider Directory
National Provider DirectoryLocations
1590 Hopkins Rd
Amherst, NY 14221
Phone (716) 480-7679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570752000000",
"number": "1255973145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 BAME AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142151302",
"telephone_number": "716-480-7679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1590 HOPKINS RD",
"city": "AMHERST",
"state": "NY",
"postal_code": "142211750",
"telephone_number": "716-480-7679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRICS & AQUATIC THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-11",
"last_updated": "2019-10-11",
"status": "A",
"authorized_official_last_name": "GACHETTE",
"authorized_official_first_name": "MEGON",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "716-480-7679",
"authorized_official_credential": "PHYSICAL THERAPY"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pediatrics & Aquatic therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.