Active NPI
Anthony Tio Goode, PHYSICAL THERAPIST
- Physical Therapist
- Hamburg, NY
National Provider Identifier
1326037946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24366-1
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000626886003 | Other | NY | BCBS PROV# |
| 00027049701 | Other | NY | UNIVERA PROV# |
| 9390493 | Other | NY | IHA PROV# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24366-1 | NY | MD | Physical Therapist |
| 024366 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buffalo Rehab Group Physical Therapy and Occupational Therapy PC | Physical Therapist | Past | 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.
-
dba ProActive Sports Rehab
- Physical Therapist
- West Seneca, NY
- NPI 1306925151
-
- Physical Therapist
- West Seneca, NY
- NPI 1548290943
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.