Active NPI
Kelly A Lubey, PT
- Physical Therapist
- Kenmore, NY
National Provider Identifier
1518240589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 013037-01
- Practice address
- 3767 Delaware Ave
Kenmore, NY 14217-1040 - Phone
- (716) 874-6175
- NPI assigned
- Sep 26, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 013037-01 | NY | Primary |
Addresses
Primary practice location
3767 Delaware Ave
Kenmore, NY 14217-1040
Mailing address
3767 Delaware Ave
Kenmore, NY 14217-1040
Phone (716) 874-6175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013037-01 | Other | NY | NYS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013037-01 | NY | MD | Physical Therapist |
| 013037 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Island Bodyworks Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Western New York PT Group PC | Physical Therapist | Past | Accepting new patients |
| Western New York Physical and Occupational Therapy Group PLLC | Physical Therapist | Past | Accepting new patients |
| Associated Physical & Occupational Therapists, PLLC | Physical Therapist | Past | Accepting new patients |
Locations
2099 Grand Island Blvd
Ste B
Grand Island, NY 14072
Phone (716) 480-5456
Organizations & group practices 4
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.
-
- Physical Therapist
- Grand Island, NY
- NPI 1619523636
-
- Occupational Therapist
- Kenmore, NY
- NPI 1538378039
Physical Therapist
-
- Physical Therapist
- Depew, NY
- NPI 1881647261
-
- Physical Therapist
- Depew, NY
- NPI 1013188341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682467200000",
"number": "1518240589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3767 DELAWARE AVE",
"city": "KENMORE",
"state": "NY",
"postal_code": "142171040",
"telephone_number": "716-874-6175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3767 DELAWARE AVE",
"city": "KENMORE",
"state": "NY",
"postal_code": "142171040",
"telephone_number": "716-874-6175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBEY",
"first_name": "KELLY",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-26",
"last_updated": "2023-04-26",
"certification_date": "2023-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "013037-01",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "013037-01",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kenmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.