Byron Waddell, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

052353 Issued in NY

Practice address

91 Erie Canal Dr Ste E
Rochester, NY 14626-4603

Phone

(585) 910-2242

Fax

(585) 869-5142

NPI assigned

May 10, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Limitless Physical Therapy PCGroup PAC ID 5991967846, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Limitless Physical Therapy PC

  dba BrownStone Physical Therapy

  • Physical Therapy Clinic/Center
  • Victor, NY
  • NPI 1154688281
  Medicare reassignment Care Compare group NPD
• Limitless Management Services, LLC

  • Physical Medicine & Rehabilitation Physician
  • Rochester, NY
  • NPI 1407648256
  Medicare reassignment NPD
• Inner Power Physical Therapy PLLC

  dba Specialty Physical Therapy

  • Physical Therapy Clinic/Center
  • Rochester, NY
  • NPI 1760047278

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1386492601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 INGLEWOOD DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146191439",
            "telephone_number": "585-831-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 ERIE CANAL DR STE E",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264603",
            "telephone_number": "585-910-2242",
            "fax_number": "585-869-5142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6534 Anthony Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Victor",
            "state": "NY",
            "postal_code": "145641421",
            "country_code": "US",
            "telephone_number": "585-869-5140",
            "fax_number": "585-869-5142",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2561 Lac De Ville Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146185645",
            "country_code": "US",
            "telephone_number": "585-473-1290",
            "fax_number": "585-869-5142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "BYRON",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-10",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Vukman, M.D.
• Shilpa Vyas, MD
• Daniel Vyverberg, PHARMD
• Wab Pharmacy Inc
• Courtney Wachter
• Marilyn A Waddell, LCSW-R
• Christine Marie Wade, PSY.D.
• Danielle Lorraine Wade, LPN
• Roshaun Wade, LPN
• Stacy Wade, OTR/L

• Physical Therapist in Rochester, NY
• Providers in Rochester, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.