Active NPI
Brian T Porebski, DPT
- Physical Therapist
- Buffalo, NY
National Provider Identifier
1427024066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0222221
- Practice address
- 2128 Elmwood Avenue
Buffalo, NY 14207-1910 - Phone
- (716) 874-4500
- Fax
- (716) 874-8145
- NPI assigned
- Feb 24, 2006
- Last updated
- Nov 29, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0222221 | NY | Primary |
Addresses
Primary practice location
2128 Elmwood Avenue
Buffalo, NY 14207-1910
Mailing address
2128 Elmwood Avenue
Buffalo, NY 14207-1910
Phone (716) 874-4500
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000626999001 | Other | COMMUNITY BLUE | |
| 00011249902 | Other | PLUSMED | |
| 00011249902 | Other | UNIVERA MEDICARE PPO | |
| 050801000038 | Other | FIDELIS CHILD HEALTH PLUS | |
| 00011249902 | Other | UNIVERA HEALTHCARE TRADIT | |
| 00011249902 | Other | UNIVERA COMMERCIAL | |
| 050801000038 | Other | FIDELIS MEDICAIDS | |
| 160975538 | Other | MAGNA CARE | |
| 160975538 | Other | NORTH AMERICAN PREFERRED | |
| ASO | Other | 00011249902 | |
| 00011249902 | Other | CHILDHEALTH PLUS | |
| 000626999001 | Other | COMMUNITY CARE | |
| 050801000038 | Other | FIDELIS FAMILY HEALTH PLU | |
| 6698654 | Other | GROUP HEALTH INSURANCE | |
| 01465154 | Medicaid | NY | |
| 00011249902 | Other | UNIVERA TRANSITIONS | |
| 000626999001 | Other | BCBS WNY | |
| 160975538 | Other | EMPIRE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0222221 | NY | MD | Physical Therapist |
| 022222 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322524800000",
"number": "1427024066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2128 ELMWOOD AVENUE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142071910",
"telephone_number": "716-874-4500",
"fax_number": "716-874-8145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2128 ELMWOOD AVENUE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142071910",
"telephone_number": "716-874-4500",
"fax_number": "716-874-8145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POREBSKI",
"first_name": "BRIAN",
"middle_name": "T",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2011-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0222221",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY BLUE",
"identifier": "000626999001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PLUSMED",
"identifier": "00011249902",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA MEDICARE PPO",
"identifier": "00011249902",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS CHILD HEALTH PLUS",
"identifier": "050801000038",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA HEALTHCARE TRADIT",
"identifier": "00011249902",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA COMMERCIAL",
"identifier": "00011249902",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS MEDICAIDS",
"identifier": "050801000038",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGNA CARE",
"identifier": "160975538",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH AMERICAN PREFERRED",
"identifier": "160975538",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "00011249902",
"identifier": "ASO",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDHEALTH PLUS",
"identifier": "00011249902",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY CARE",
"identifier": "000626999001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS FAMILY HEALTH PLU",
"identifier": "050801000038",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH INSURANCE",
"identifier": "6698654",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01465154",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA TRANSITIONS",
"identifier": "00011249902",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS WNY",
"identifier": "000626999001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE",
"identifier": "160975538",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.