Individual provider Active NPI

Anthony Tio Goode, PHYSICAL THERAPIST

  • Physical Therapist
  • Hamburg, NY
National Provider Identifier
1326037946
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24366-1 Issued in NY
Practice address
5815 S Park Ave
Hamburg, NY 14075-3738
Phone
(716) 648-8700
Fax
(716) 648-0400
NPI assigned
Oct 17, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 24366-1 NY Primary

Addresses

Primary practice location

5815 S Park Ave
Hamburg, NY 14075-3738

Mailing address

5815 S Park Ave
Hamburg, NY 14075-3738
Phone (716) 648-8700

Other identifiers 3

IdentifierTypeStateIssuer
000626886003OtherNYBCBS PROV#
00027049701OtherNYUNIVERA PROV#
9390493OtherNYIHA PROV#

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050510001045 NY Practitioner - Physical Therapist in Private Practice 1658311550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kirchmyer and Goode Physical Therapists PCGroup PAC ID 1052352473, 3 clinicians

Practice addresses (Care Compare)

1900 Ridge Rd
Suite 116
West Seneca, NY 14224-3332
Phone (716) 674-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24366-1NYMDPhysical Therapist
024366NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Rehab Group Physical Therapy and Occupational Therapy PC Physical Therapist PastSince Mar 16, 2001 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1326037946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 S PARK AVE",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140753738",
            "telephone_number": "716-648-8700",
            "fax_number": "716-648-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 S PARK AVE",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140753738",
            "telephone_number": "716-648-8700",
            "fax_number": "716-648-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODE",
        "first_name": "ANTHONY",
        "middle_name": "TIO",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "24366-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV#",
            "identifier": "000626886003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA PROV#",
            "identifier": "00027049701",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA PROV#",
            "identifier": "9390493",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.