Northstar Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

62141 Issued in NY

Legal business name

NORTHSTAR PHYSICAL THERAPY PLLC

Practice address

2801 Wehrle Dr
Suite 12
Buffalo, NY 14221-7381

Phone

(716) 630-9700

Fax

(716) 630-9200

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kristopher D Bosch, DPT, ATCNPI 1306860671

Title

Member

Phone

(716) 630-9700

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Kristopher David Bosch, PT, DPT, ATC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1306860671
  NPD (past) Authorized official
• Rebecca Anne Morris, L.M.T

  • Massage Therapist
  • Williamsville, NY
  • NPI 1992974943
  NPD (past)
• Dane Rashike Burke, PT, PA-C, ATC

  • Physician Assistant
  • San Antonio, TX
  • NPI 1649302233

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528199775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 WEHRLE DR",
            "address_2": "SUITE 12",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142217381",
            "telephone_number": "716-630-9700",
            "fax_number": "716-630-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 WEHRLE DR",
            "address_2": "SUITE 12",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142217381",
            "telephone_number": "716-630-9700",
            "fax_number": "716-630-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOSCH",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "716-630-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "62141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Dean Nornhold, PHARM.D.
• North Buffalo Dental
• North Park Associates LLP
• Northeast Medical Hospitalist PLLC
• Carol E Northrup, P.N.P.
• Northtown Podiatry Group PC
• Northtowns Medical Group, P.C.
• Northtowns Neurosurgery PLLC
• Mary Elizebeth Norton, RN
• Nicole Lynn Norton, BS, CASAC-T

• Physical Therapist in Buffalo, NY
• Providers in Buffalo, 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 Aug 22, 2020; 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.