Stephanie Marie Bobeck, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

046114 Issued in NY

Practice address

4200 N Buffalo Rd
Orchard Park, NY 14127-2415

Phone

(716) 539-2900

NPI assigned

Sep 22, 2020

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Swiatek Physical Therapy PLLCGroup PAC ID 7113150988, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Swiatek Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Amherst, NY
  • NPI 1982025094

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Buffalo Rehab Group Physical Therapy and Occupational Therapy PC

  • Physical Therapist
  • West Seneca, NY
  • NPI 1548290943
  Medicare reassignment NPD
• Phoenix Physical Therapy Services, P.C.

  • Orthopedic Physical Therapist
  • Amherst, NY
  • NPI 1053553578
  NPD (past)

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1528674850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 8000 DEPT 314",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142670002",
            "telephone_number": "716-213-0772",
            "fax_number": "716-324-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 N BUFFALO RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272415",
            "telephone_number": "716-539-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBECK",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06313015",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriel Birkby
• Mary C Birmingham, PHARMD
• Shari Blailock
• Dennis A Blair, DDS
• Krista Blakowski
• Zachary Bodack
• Tara Bodziak, AU.D
• Ronald B Boersma, MD
• Bernadette Marie Boland, MS.ED
• Siobhan Boland, NP

• 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 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.