Individual provider Active NPI

Aleksandr Trokhimuk

  • Physical Therapist
  • Lockport, NY
National Provider Identifier
1447912712
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
047808 Issued in NY
Practice address
6101 Robinson Rd
Lockport, NY 14094-8920
Phone
(716) 210-3103
Fax
(716) 210-3103
NPI assigned
Oct 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 047808 NY Primary

Addresses

Primary practice location

6101 Robinson Rd
Lockport, NY 14094-8920

Mailing address

56 Main St
Akron, NY 14001-1240
Phone (716) 542-1135

Other practice location 1

56 Main St
Akron, NY 14001-1240
Phone (716) 542-1135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211129002183 NY Practitioner - Physical Therapist in Private Practice 3971993304 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Rehabilitation LLPGroup PAC ID 4789843376, 114 clinicians

Practice addresses (Care Compare)

6055 Armor Duells Rd
Orchard Park, NY 14127-3150
Phone (716) 508-3026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047808NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Performance Physical Therapy PLLC Physical Therapist CurrentSince Mar 24, 2024 Accepting new patients
Caring Rehab PT PLLC Physical Therapist CurrentSince Mar 3, 2023 Accepting new patients
Grand Island Physical Therapy PC Physical Therapist CurrentSince Feb 22, 2022 Accepting new patients
Results Physical Therapy PLLC Physical Therapist CurrentSince Feb 4, 2024 Accepting new patients
Affinity Rehabilitation LLP CurrentSince Jun 23, 2024 Accepting new patients

Locations

56 Main St
Akron, NY 14001
Phone (585) 591-3082

418 Broadway
Ste N
Albany, NY 12207
Phone (201) 278-8966

1801 Grand Island Blvd
Grand Island, NY 14072
Phone (716) 773-4323

6101 Robinson Rd
Lockport, NY 14094
Phone (716) 210-3103

6101 Robinson Rd
Ste S
Lockport, NY 14094
Phone (716) 210-3103

500 N Columbus Ave
Mount Vernon, NY 10552
Phone (914) 266-3796

1 Johnsarbor Dr W
Rochester, NY 14620
Phone (585) 532-7214

1491 Sheridan Dr
Tonawanda, NY 14217
Phone (716) 332-4476

2333 State Route 19 N
Warsaw, NY 14569
Phone (585) 484-9564

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1447912712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 MAIN ST",
            "city": "AKRON",
            "state": "NY",
            "postal_code": "140011240",
            "telephone_number": "716-542-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 ROBINSON RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140948920",
            "telephone_number": "716-210-3103",
            "fax_number": "716-210-3103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "56 Main St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "NY",
            "postal_code": "140011240",
            "country_code": "US",
            "telephone_number": "716-542-1135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROKHIMUK",
        "first_name": "ALEKSANDR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-13",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.

Verify at the official NPI Registry.