Individual provider Active NPI

Sammy Iraci III, PT

  • Physical Therapist
  • Williamsville, NY
National Provider Identifier
1386799138
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
024809 Issued in NY
Practice address
6245 Sheridan Dr
Ste 112
Williamsville, NY 14221-4834
Phone
(716) 565-0818
Fax
(888) 401-2425
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 024809 NY Primary

Addresses

Primary practice location

6245 Sheridan Dr
Ste 112
Williamsville, NY 14221-4834

Mailing address

PO Box 896
Getzville, NY 14068-0896
Phone (716) 565-0818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050610000394 NY Practitioner - Physical Therapist in Private Practice 6800830811 Reassigns benefits to 2 organizations

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
Nitin Bansal, M.D, PLLCGroup PAC ID 3476962374, 3 clinicians

Practice addresses (Care Compare)

1515 Kensington Ave
Buffalo, NY 14215-1436
Phone (716) 440-1118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Physical Therapy and Fitness PLLC CurrentSince Feb 1, 2008 Accepting new patients
Niagara Physical Therapy PC Physical Therapist PastSince Jun 16, 2005 Accepting new patients

Locations

1515 Kensington Ave
Buffalo, NY 14215
Phone (716) 440-1118

5225 Sheridan Dr
Ste 21
Williamsville, NY 14221
Phone (716) 565-0818

6245 Sheridan Dr
Ste 112
Williamsville, NY 14221
Phone (716) 565-0818

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1386799138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140680896",
            "telephone_number": "716-565-0818",
            "fax_number": "888-401-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 SHERIDAN DR",
            "address_2": "STE 112",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214834",
            "telephone_number": "716-565-0818",
            "fax_number": "888-401-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRACI",
        "first_name": "SAMMY",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.