Individual provider Active NPI

Steven Fournier, DPT

  • Physical Therapist
  • Tonawanda, NY
National Provider Identifier
1568214468
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
049859-01 Issued in NY
Practice address
2963 Sheridan Drive
Tonawanda, NY 14150
Phone
(716) 245-6326
NPI assigned
Apr 3, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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 049859-01 NY Primary

Addresses

Primary practice location

2963 Sheridan Drive
Tonawanda, NY 14150

Mailing address

4200 Lower Mountain Rd
Lockport, NY 14094-9741

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240415000723 NY Practitioner - Physical Therapist in Private Practice 3072952761 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
049859NYMDPharmacist
049859-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Rehab Group Physical Therapy and Occupational Therapy PC Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients

Locations

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

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

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

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": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1568214468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 LOWER MOUNTAIN RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2963 SHERIDAN DRIVE",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "14150",
            "telephone_number": "716-245-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURNIER",
        "first_name": "STEVEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049859-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.