Amber Gaudy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10403117-2401 Issued in UT

Practice address

4 Centre Dr Ste G
Orchard Park, NY 14127-4117

Phone

(716) 662-2922

NPI assigned

Jun 30, 2017

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 names 1

• Amber Penna Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Kime Performance Nevada LLC

  • Physical Therapy Clinic/Center
  • Reno, NV
  • NPI 1053918185
  NPD (past)

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1477074284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3156 WELLER DR",
            "city": "EDEN",
            "state": "NY",
            "postal_code": "140571136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CENTRE DR STE G",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141274117",
            "telephone_number": "716-662-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUDY",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "10403117-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "PENNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ganrormic
• Isosceles Dizon Garbes, MD
• McKenzie Gardner, MSPT
• Frederick Carlton Gass, M.D.
• Barrett Gast, PA
• Danielle Marie Gaulin
• Anna Gavriluke, MD
• Tara Gawel, PT, OCS
• Amber C Gawera
• Jacob Gawronski, DPT

• Physical Therapist in Orchard Park, NY
• Providers in Orchard Park, 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 Apr 2, 2026; 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.