Usrh D.C & P.T., P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

018590-1 Issued in NY

Legal business name

USRH D.C & P.T., P.C.

Practice address

2448 Union Rd
Cheektowaga, NY 14227-2230

Phone

(716) 656-0200

Fax

(716) 656-0055

NPI assigned

Mar 6, 2008

Last updated

Oct 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Phillip John Kaczmarek, D.C., P.T.NPI 1679657639

Title

Owner

Phone

(716) 656-0200

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Usrh D.C. & P.T., P.C.

  • Rehabilitation Chiropractor
  • Cheektowaga, NY
  • NPI 1528211935

  O20080521000339

  Same enrollment

Tax ID family

Union Square Rehab Health DC PT2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Usrh D.C. & P.T., P.C.

  • Rehabilitation Chiropractor
  • Cheektowaga, NY
  • NPI 1528211935
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phillip J Kaczmarek, D.C., P.T.

  • Physical Therapist
  • Cheektowaga, NY
  • NPI 1679657639
  Medicare reassignment NPD Authorized official
• Erica Janean Kaiser, LMT

  • Massage Therapist
  • Cheektowaga, NY
  • NPI 1245470723
  NPD (past)
• Thomas Sickler

  • Chiropractor
  • Cheektowaga, NY
  • NPI 1386021863
  NPD (past)

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1467622431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 UNION RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142272230",
            "telephone_number": "716-656-0200",
            "fax_number": "716-656-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 UNION RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142272230",
            "telephone_number": "716-656-0200",
            "fax_number": "716-656-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRH D.C & P.T., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "KACZMAREK",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-656-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018590-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "000626820003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00025998703",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9311595",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University Orthopaedic Services Inc.
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• Usrc West Cheektowaga, LLC (U.S. Renal Care West Cheektowaga Dialysis)
• Usrh D.C. & P.T., P.C.
• Usv Optical Inc.
• Virginia MJ Valenti
• Danielle Valint
• Noah Dean Vallas

• Physical Therapist in Cheektowaga, NY
• Providers in Cheektowaga, 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 Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.