Joseph Amico, PT, DPT, CMP
Individual provider Active NPI Physical Therapist · Amherst, NY
NPI 1396089207 · NPPES record last updated Jul 2, 2020
Key facts
- NPI
- 1396089207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 042355 (NY)
- Practice address
- 3925 Sheridan Dr
Amherst, NY 14226-1738 - Phone
- (716) 250-9999
- NPI assigned
- Nov 15, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210610001642 | NY | Practitioner - Physical Therapist in Private Practice | 5092115162 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42222 | NM | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excelsior Orthopaedics, LLP | Current |
Accepting new patients | |
| Excelsior Orthopaedics LLP | Specialist | Current |
Accepting new patients |
Locations
3925 Sheridan Dr
Buffalo, NY 14226
Phone (716) 250-6500
8750 Transit Rd
Ste 100
East Amherst, NY 14051
Phone (716) 250-6500
Interoperability endpoints
- jamico@excelsiorortho.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 42222 | NM | |
| Physical Therapist | 225100000X | 042355 | NY | Yes |
Addresses
Primary practice location
3925 Sheridan Dr
Amherst, NY 14226-1738
Mailing address
2738 Third Ave
Ketchikan, AK 99901-5704
Other providers in Amherst, NY
- Amherst Central School District
- Amherst General Endoscopy Center LLC
- Amherst Meals on Wheels, Inc.
- Amherst Medical Associates, LLP
- Amherst Surgical Associates PC
- Shirley A. Anain
- Sherita Danielle Anderson-Bailey
- Kerenza Anne Anderson
- Angel Minuto LCSW PLLC
- Cheryl Kalil Anisman
All providers in Amherst, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.