Deborah Joanne Quennell-Kavcic, BSCPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

014198 Issued in NY

Practice address

3669 Southwestern Blvd
Orchard Park, NY 14127-1732

Phone

(716) 828-2455

Fax

(716) 828-3561

NPI assigned

Nov 26, 2019

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1417593328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3669 SOUTHWESTERN BLVD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271732",
            "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 BLVD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271732",
            "telephone_number": "716-828-2455",
            "fax_number": "716-828-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUENNELL-KAVCIC",
        "first_name": "DEBORAH",
        "middle_name": "JOANNE",
        "credential": "BSCPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Pufpaff
• David Aaron Pula, MD
• Madolin Purcell
• Lesley Pyjas, RN
• Quaker Medical Associates, PC
• Norma Quijada, MD
• Kristin Quinn, LMT
• Maureen Patricia Quinn, LSLP-CCC.
• Matthew Radel
• Jeremy Wayne Rademacker, D.C.

• Physical Therapist in Orchard Park, NY
• Providers in Orchard Park, 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 Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.