NPIMap

Organization Active NPI

Buffalo Back & Neck Physical Therapy, P.C.

  • Orthopedic Physical Therapist
  • Tonawanda, NY
National Provider Identifier
1477572980
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
018465-1 Issued in NY
Legal business name
BUFFALO BACK & NECK PHYSICAL THERAPY, P.C.
Practice address
1060 Niagara Falls Blvd
Suite 5
Tonawanda, NY 14150
Phone
(716) 836-2225
Fax
(716) 836-2712
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Dr. Matthew Christopher Smith, PT, DPT,NPI 1184679623
Title
President -Secretary
Phone
(716) 836-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 018465-1 NY Primary

Addresses

Primary practice location

1060 Niagara Falls Blvd
Suite 5
Tonawanda, NY 14150

Mailing address

1060 Niagara Falls Blvd
Suite 5
Tonawanda, NY 14150
Phone (716) 836-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040827000829 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2567437106 Receives reassigned benefits from 2 practitioners
Practice locations: Tonawanda, NY

National Provider Directory

National Provider Directory

Locations

4565 Bailey Ave
Amherst, NY 14226

1060 Niagara Falls Blvd
Ste 5
Tonawanda, NY 14150
Phone (716) 836-2225

1060 Niagara Falls Blvd
Tonawanda, NY 14150
Phone (716) 836-2225

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1477572980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 NIAGARA FALLS BLVD",
            "address_2": "SUITE 5",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "14150",
            "telephone_number": "716-836-2225",
            "fax_number": "716-836-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 NIAGARA FALLS BLVD",
            "address_2": "SUITE 5",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "14150",
            "telephone_number": "716-836-2225",
            "fax_number": "716-836-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO BACK & NECK PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT -SECRETARY",
        "authorized_official_telephone_number": "716-836-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT,"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "018465-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.