Cynthia Mary Odachowski, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006541-1 Issued in NY

Practice address

19 Olean St
East Aurora, NY 14052-2513

Phone

(716) 652-3127

Fax

(716) 652-3128

NPI assigned

May 30, 2006

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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Aurora Family Physical Therapy PCGroup PAC ID 2769485747, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• East Aurora Family Physical Therapy, PC

  • Physical Therapist
  • East Aurora, NY
  • NPI 1508819129
  Medicare reassignment Care Compare group NPD
• Beverly Stewart Physical Therapy

  • Physical Therapist
  • East Aurora, NY
  • NPI 1083808356
  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1457308983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 OLEAN ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522513",
            "telephone_number": "716-652-3127",
            "fax_number": "716-652-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 OLEAN ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522513",
            "telephone_number": "716-652-3127",
            "fax_number": "716-652-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODACHOWSKI",
        "first_name": "CYNTHIA",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "006541-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00623438001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "000623438001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "9307528",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA/ SENIOR CHOICE",
            "identifier": "00026011901",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Jean Norton, P.T.
• Hannah Rachel Norton, PHARMD
• Christopher Nowak
• Elizabeth Helen Nowak, RPH
• Bonnie Elizabeth O'Brien, LCSW
• Kip Alan Palmateer, A.T.,C
• Leslie Pasco
• Puja Patel
• Brynn Elizabeth Patterson, P.T.
• Peachtree Podiatry,PLLC

• Physical Therapist in East Aurora, NY
• Providers in East Aurora, 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 Sep 6, 2022; 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.