Kirchmyer & Goode Physical Therapists PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

024373-1 Issued in NY

Legal business name

KIRCHMYER & GOODE PHYSICAL THERAPISTS PC

Practice address

1900 Ridge Rd Ste 116
West Seneca, NY 14224-3332

Phone

(716) 674-9600

Fax

(716) 674-9700

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Kirchmyer, PTNPI 1811986730

Title

Owner

Phone

(716) 674-9600

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• ProActive Sports Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey David Kirchmyer, PHYSICAL THERAPIST

  • Physical Therapist
  • West Seneca, NY
  • NPI 1811986730
  Medicare reassignment Care Compare group Authorized official
• Tetyana Burysh

  • Physical Therapist
  • West Seneca, NY
  • NPI 1295384469
  Medicare reassignment Care Compare group
• Anthony Tio Goode, PHYSICAL THERAPIST

  • Physical Therapist
  • Hamburg, NY
  • NPI 1326037946
  Medicare reassignment Care Compare group
• Kelly Nicole Emerson, L.M.T, P.T.A

  • Massage Therapist
  • Orchard Park, NY
  • NPI 1831484096
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1306925151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 RIDGE RD STE 116",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243332",
            "telephone_number": "716-674-9600",
            "fax_number": "716-674-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 RIDGE RD STE 116",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243332",
            "telephone_number": "716-674-9600",
            "fax_number": "716-674-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4535 Southwestern Blvd Ste 805",
            "address_purpose": "LOCATION",
            "city": "Hamburg",
            "state": "NY",
            "postal_code": "140751860",
            "country_code": "US",
            "telephone_number": "716-648-8700",
            "fax_number": "716-648-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIRCHMYER & GOODE PHYSICAL THERAPISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "KIRCHMYER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-674-9600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024373-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA PAYEE ID#",
            "identifier": "00030802801",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03931660",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PAYEE ID#",
            "identifier": "GRP513280001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProActive Sports Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alice M Kimmel
• Brian P Kimple, RPH
• Barbara King, P.A.
• Evan King, DPT
• Kaitlyn Marie Kinkade
• Jeffrey David Kirchmyer, PHYSICAL THERAPIST
• Danielle Anne Kirchner, PHARMD
• Maureen Kirkpatrick
• Zolton Kish
• Rachel M Kistner, PA-C

• Physical Therapist in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.