Individual provider Active NPI

Jacob Gawronski, DPT

  • Physical Therapist
  • Orchard Park, NY
National Provider Identifier
1528958360
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
054455 Issued in NY
Practice address
4200 N Buffalo Rd
Orchard Park, NY 14127-2415
Phone
(716) 539-2900
NPI assigned
Jul 3, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 054455 NY Primary

Addresses

Primary practice location

4200 N Buffalo Rd
Orchard Park, NY 14127-2415

Mailing address

24 Rene Dr
West Seneca, NY 14224-4360
Phone (716) 880-5388

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250922002019 NY Practitioner - Physical Therapist in Private Practice 5991209959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4200 N Buffalo Rd
Orchard Park, NY 14127-2415
Phone (716) 539-2900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Rehab Group Physical Therapy and Occupational Therapy PC Physical Therapist CurrentSince Jul 3, 2025 Accepting new patients

Locations

8000 Box
Buffalo, NY 14267
Phone (716) 213-0772

3527 Union Rd
Cheektowaga, NY 14225
Phone (716) 503-4441

5190 Transit Rd
Depew, NY 14043
Phone (716) 651-0100

5589 Transit Rd
East Amherst, NY 14051
Phone (716) 568-1251

230 Main St
East Aurora, NY 14052
Phone (716) 333-8723

4901 Camp Rd
Ste 300
Hamburg, NY 14075
Phone (716) 464-1102

60 Main St
Ste 1
Hamburg, NY 14075
Phone (716) 649-1618

2760 Delaware Ave
Kenmore, NY 14217
Phone (716) 423-2262

4200 N Buffalo Rd
Orchard Park, NY 14127
Phone (716) 539-2900

2963 Sheridan Dr
Tonawanda, NY 14150
Phone (716) 245-6326

2100 Union Rd
West Seneca, NY 14224
Phone (716) 656-8600

150 Tech Dr
Williamsville, NY 14221
Phone (716) 276-8300

40 George Karl Blvd
Ste 140
Williamsville, NY 14221
Phone (716) 458-1990

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": "1751500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1528958360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 RENE DR",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142244360",
            "telephone_number": "716-880-5388"
        },
        {
            "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": "GAWRONSKI",
        "first_name": "JACOB",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "054455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.