Shannon Lynne Andriatch

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

007632 Issued in NY

Practice address

2495 Main St Ste 234
Buffalo, NY 14214-2152

Phone

(716) 836-5929

NPI assigned

Mar 10, 2018

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optimal Occupational and Physical Therapy Associates Services PLLC

  • Occupational Therapist
  • Buffalo, NY
  • NPI 1497927263
  NPD (past)

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

{
    "created_epoch": "1520640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520640000000",
    "number": "1427551027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 WESTFALL DR",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141507132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 MAIN ST STE 234",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142152",
            "telephone_number": "716-836-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRIATCH",
        "first_name": "SHANNON",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-10",
        "last_updated": "2018-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "007632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew C. Matteliano, M.D.
• Philip John Andrew, MD
• Sara Andrew, LCSW
• Shonna Andrews, PHARMD
• Ted James Andrews, PH.D., M.D.
• Georgia Androutsopoulou, M.D.
• Nicole Andrus, DAOM, L.AC.
• Katharine M Andrzejak, MS CCC-SLP
• Jenna Mae Andrzejewski, PHARM.D.
• Renee Lynn Andrzejewski, ANP

• Physical Therapy Assistant in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2018; 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.