Individual provider Active NPI

Amy L Kauderer, DPT

  • Physical Therapist
  • Niagara Falls, NY
National Provider Identifier
1306986781
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
026371-1 Issued in NY
Practice address
10158 Niagara Falls Blvd
Niagara Falls, NY 14304-2793
Phone
(716) 298-9390
Fax
(716) 298-9391
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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 026371-1 NY Primary

Addresses

Primary practice location

10158 Niagara Falls Blvd
Niagara Falls, NY 14304-2793

Mailing address

6572 Slayton Settlement Rd
Lockport, NY 14094-1137
Phone (716) 434-9260

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050214000402 NY Practitioner - Physical Therapist in Private Practice 0143272609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Falcon Physical Therapy PCGroup PAC ID 6800923988, 2 clinicians

Practice addresses (Care Compare)

2931 Military Rd
Niagara Falls, NY 14304-1251
Phone (716) 298-9390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
026371-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Falcon Physical Therapy PC Physical Therapist CurrentSince Nov 1, 2009 Accepting new patients
Niagara Physical Therapy PC Physical Therapist PastSince Jun 16, 2005 Accepting new patients

Locations

10158 Niagara Falls Blvd
Niagara Falls, NY 14304
Phone (716) 298-0368

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1306986781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6572 SLAYTON SETTLEMENT RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140941137",
            "telephone_number": "716-434-9260",
            "fax_number": "716-298-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10158 NIAGARA FALLS BLVD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143042793",
            "telephone_number": "716-298-9390",
            "fax_number": "716-298-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUDERER",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026371-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.