Organization Active NPI

Physical Therapy Services of Niagara, PLLC

  • Early Intervention Provider Agency
  • N Tonawanda, NY
National Provider Identifier
1548413370
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
016258-1 Issued in NY
Legal business name
PHYSICAL THERAPY SERVICES OF NIAGARA, PLLC
Practice address
3341 Summerset CT
N Tonawanda, NY 14120-1277
Phone
(716) 523-1383
Fax
(716) 693-5464
NPI assigned
Oct 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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

Authorized official

Name
Bonnie ReedNPI 1477718989
Title
President/Ceo
Phone
(716) 523-1383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251P0200X 016258-1 NY
Early Intervention Provider Agency 252Y00000X 016258-1 NY Primary

Addresses

Primary practice location

3341 Summerset CT
N Tonawanda, NY 14120-1277

Mailing address

3341 Summerset CT
N Tonawanda, NY 14120-1277
Phone (716) 523-1383

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1548413370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 SUMMERSET CT",
            "city": "N TONAWANDA",
            "state": "NY",
            "postal_code": "141201277",
            "telephone_number": "716-523-1383",
            "fax_number": "716-693-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 SUMMERSET CT",
            "city": "N TONAWANDA",
            "state": "NY",
            "postal_code": "141201277",
            "telephone_number": "716-523-1383",
            "fax_number": "716-693-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SERVICES OF NIAGARA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "716-523-1383"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "016258-1",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "016258-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.