Active NPI
Connor Smith, DPT
- Physical Therapist
- Orchard Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040641
- Practice address
- 200 Sterling Dr Ste 200
Orchard Park, NY 14127-1577 - Phone
- (716) 626-0093
- Fax
- (716) 626-9193
- NPI assigned
- Sep 8, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 26151 | MD | |
| Physical Therapist | 225100000X | 070022758 | IL | |
| Physical Therapist | 225100000X | 040641 | NY | Primary |
Addresses
Primary practice location
200 Sterling Dr Ste 200
Orchard Park, NY 14127-1577
Mailing address
100 College Pkwy Ste 100
Williamsville, NY 14221-6800
Phone (716) 626-0093
Other practice location 1
100 College Pkwy Ste 100
Williamsville, NY 14221-6800
Phone (716) 626-0093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 College Pkwy
Suite 100
Williamsville, NY 14221-6800
Phone (716) 626-0093
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040641 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buffalo Spine Medicine & Rehab PLLC | Physical Therapist | Current | Accepting new patients |
Locations
200 Sterling Dr
Ste 200
Orchard Park, NY 14127
Phone (716) 878-7000
100 College Pkwy
Ste 100
Williamsville, NY 14221
Phone (716) 362-1552
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Williamsville, NY
- NPI 1326394701
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523232000000",
"number": "1427505338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 COLLEGE PKWY STE 100",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142216800",
"telephone_number": "716-626-0093",
"fax_number": "716-626-9193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 STERLING DR STE 200",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271577",
"telephone_number": "716-626-0093",
"fax_number": "716-626-9193"
}
],
"practiceLocations": [
{
"address_1": "100 College Pkwy Ste 100",
"address_purpose": "LOCATION",
"city": "Williamsville",
"state": "NY",
"postal_code": "142216800",
"country_code": "US",
"telephone_number": "716-626-0093",
"fax_number": "716-626-9193",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "CONNOR",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-08",
"last_updated": "2018-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "26151",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070022758",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "040641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.