Kelly Pecora, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040357-1 Issued in NY

Practice address

2075 Sheridan Dr
Kenmore, NY 14223-1425

Phone

(716) 803-8220

Fax

(716) 874-1458

NPI assigned

Aug 29, 2016

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Susan E Bennett PT PCGroup PAC ID 9133149925, 11 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.

• Susan E Bennett PT PC

  • Physical Therapy Clinic/Center
  • Kenmore, NY
  • NPI 1710021001
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1477009652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 SHERIDAN DR",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142231425",
            "telephone_number": "716-803-8220",
            "fax_number": "716-874-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 SHERIDAN DR",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142231425",
            "telephone_number": "716-803-8220",
            "fax_number": "716-874-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECORA",
        "first_name": "KELLY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040357-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dani Lyn Parr
• Beth Patterson
• Natalie Christine Patterson, MS SP ED
• Victoria Ann Patterson
• Victoria Paulsen
• Gina M Pecoraro
• Brianna Peete
• Bonnie Sue Pellegrino, PHARM.D.
• Lindsay Anne Pellegrino, SLP
• Alyssa Lynn Pepe-Johnson, LCSW

• Physical Therapist in Kenmore, NY
• Providers in Kenmore, 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 Nov 5, 2021; 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.