Individual provider Active NPI

Kristin Scobey, PT, DPT

  • Pediatric Physical Therapist
  • Amherst, NY
National Provider Identifier
1518523653
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
026358-1 Issued in NY
Practice address
700 Sweet Home Rd
Amherst, NY 14226-1444
Phone
(716) 836-7556
NPI assigned
May 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 7467 TN
Pediatric Physical Therapist 2251P0200X 026358-1 NY Primary

Addresses

Primary practice location

700 Sweet Home Rd
Amherst, NY 14226-1444

Mailing address

17 Winterwood CT
Buffalo, NY 14223-1132
Phone (901) 604-4266

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201104000947 NY Practitioner - Physical Therapist in Private Practice 9133539018 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7467TNMDProfessional Counselor
026358-1NYMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Hearing & Speech Center, Inc CurrentSince Aug 4, 2020 Accepting new patients

Locations

50 E North St
Buffalo, NY 14203
Phone (716) 885-8318

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1518523653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WINTERWOOD CT",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231132",
            "telephone_number": "901-604-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SWEET HOME RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261444",
            "telephone_number": "716-836-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOBEY",
        "first_name": "KRISTIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TN",
            "license": "7467",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "026358-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.