Active NPI
Kailey Christine Baskerville
- Physical Therapist
- Orchard Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 04782501
- Practice address
- 6167 W Quaker St
Orchard Park, NY 14127-2640 - Phone
- (716) 662-4800
- NPI assigned
- Oct 10, 2021
- Sex
- Female
- 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 | 04782501 | NY | Primary |
Addresses
Primary practice location
6167 W Quaker St
Orchard Park, NY 14127-2640
Mailing address
6167 W Quaker St
Orchard Park, NY 14127-2640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220125001498 | NY | Practitioner - Physical Therapist in Private Practice | 8325430390 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Excelsior Orthopaedics LLP
Practice addresses (Care Compare)
3925 Sheridan Dr
Amherst, NY 14226-1738
Phone (716) 250-9999
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.79 of 100
- Quality
- 89.94
- Promoting interoperability
- 88
- Improvement activities
- 40
- Cost
- 82.5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047825 | NY | MD | General Practice Dentistry |
| 04782501 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excelsior Orthopaedics LLP | Physical Therapist | Current | Accepting new patients |
| Buffalo Rehab Group Physical Therapy and Occupational Therapy PC | Physical Therapist | Current | Accepting new patients |
| Excelsior Orthopaedics, LLP | Current | Accepting new patients | |
| Therapeutic Link for Children | Past | Accepting new patients | |
| Therapeutic Link for Children, PLLC | Past | Accepting new patients |
Locations
3925 Sheridan Dr
Buffalo, NY 14226
Phone (716) 250-6500
8000 Box
Buffalo, NY 14267
Phone (716) 213-0772
4901 Camp Rd
Ste 300
Hamburg, NY 14075
Phone (716) 464-1102
3670 S Benzing Rd
Ste K
Orchard Park, NY 14127
Phone (716) 250-6500
2100 Union Rd
West Seneca, NY 14224
Phone (716) 656-8600
Interoperability endpoints
- kballou@excelsiorortho.medentdirect.com
Organizations & group practices 8
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.
-
- Orthopaedic Surgery Physician
- Amherst, NY
- NPI 1831196757
NY, Physical Therapist
-
- Physical Therapist
- West Seneca, NY
- NPI 1548290943
NY, Physical Therapist
-
- Orthopaedic Surgery Physician
- Amherst, NY
- NPI 1003058462
-
- Orthopaedic Surgery Physician
- Orchard Park, NY
- NPI 1013289057
-
- Specialist
- East Amherst, NY
- NPI 1104412105
-
- Orthopaedic Surgery Physician
- Niagara Falls, NY
- NPI 1295078202
-
- Early Intervention Provider Agency
- Orchard Park, NY
- NPI 1972784221
-
- Early Intervention Provider Agency
- Orchard Park, NY
- NPI 1508222498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1336801034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6167 W QUAKER ST",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141272640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6167 W QUAKER ST",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141272640",
"telephone_number": "716-662-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASKERVILLE",
"first_name": "KAILEY",
"middle_name": "CHRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-10",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "04782501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.