Awaken Performance Rehab LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

AWAKEN PERFORMANCE REHAB LLC

Practice address

4476 Main St Ste 110
Amherst, NY 14226-4463

Phone

(716) 246-4806

Fax

(716) 303-7014

NPI assigned

Jul 19, 2023

Last updated

Jul 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Matthew Lowe, PT, DPT, CERT. MDTNPI 1164981742

Title

Owner/Physical Therapist

Phone

(716) 270-3267

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory Matthew Lowe, PT, DPT, CERT. MDT

  • Physical Therapist
  • Amherst, NY
  • NPI 1164981742
  NPD Authorized official

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1326728866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 STONERIDGE CT",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522039",
            "telephone_number": "716-270-3267",
            "fax_number": "716-303-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4476 MAIN ST STE 110",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264463",
            "telephone_number": "716-246-4806",
            "fax_number": "716-303-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKEN PERFORMANCE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "716-270-3267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, CERT. MDT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ceciyyah Atkins
• Attune Therapy LCSW PLLC
• Michelle Boyd Augello, DDS
• Autistic Services, Inc.
• Anthony M. Avellanosa, M.D.
• Michelle Elizabeth Azara, RN
• Tiffany Azzinaro, LCSWR
• Sandra J Bach, M.S., ED.
• Shelley Mae Bacon, NP
• Barbara L Baer, RN

• Physical Therapy Clinic/Center in Amherst, NY
• Providers in Amherst, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.