Active NPI
Richard Szabala, PT, OCS
- Physical Therapist
- Orchard Park, NY
National Provider Identifier
1366865289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 010149-1
- Practice address
- 3669 Southwestern Bivd.
Orchard Park, NY 14127 - Phone
- (716) 828-2455
- Fax
- (716) 828-3561
- NPI assigned
- Jan 29, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 010149-1 | NY | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 010149-1 | NY |
Addresses
Primary practice location
3669 Southwestern Bivd.
Orchard Park, NY 14127
Mailing address
3669 Southwestern Bivd.
Orchard Park, NY 14127
Phone (716) 828-2455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010149-1 | NY | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital of Buffalo | Current | Accepting new patients |
Locations
144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690
565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000
3669 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 662-0500
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1164464921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390953600000",
"number": "1366865289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3669 SOUTHWESTERN BIVD.",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "14127",
"telephone_number": "716-828-2455",
"fax_number": "716-828-3561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3669 SOUTHWESTERN BIVD.",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "14127",
"telephone_number": "716-828-2455",
"fax_number": "716-828-3561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZABALA",
"first_name": "RICHARD",
"credential": "PT, OCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-29",
"last_updated": "2014-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "010149-1",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "010149-1",
"primary": false
}
],
"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 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.