NPIMap

Organization Active NPI

Sport Rehab Physical Therapy PLLC

  • Physical Therapist
  • Depew, NY
National Provider Identifier
1629021274
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
NYS009291 Issued in NY
Legal business name
SPORT REHAB PHYSICAL THERAPY PLLC
Practice address
5102 Transit Rd
Depew, NY 14043-4465
Phone
(716) 683-9310
Fax
(716) 683-7961
NPI assigned
May 17, 2006
Last updated
May 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Authorized official

Name
Mr. Philip Anthony Tonsoline, MS, P.T., A.T.CNPI 1184665275
Title
Owner- Physical Therapist
Phone
(716) 683-9310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NYS009291 NY Primary

Addresses

Primary practice location

5102 Transit Rd
Depew, NY 14043-4465

Mailing address

5102 Transit Rd
Depew, NY 14043-4465
Phone (716) 683-9310

National Provider Directory

National Provider Directory

Locations

5150 Broadway
Depew, NY 14043
Phone (716) 444-3277

27 Franklin St
Springville, NY 14141
Phone (716) 592-5006

4545 Transit Rd
Ste 640
Williamsville, NY 14221
Phone (716) 534-9044

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1629021274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434465",
            "telephone_number": "716-683-9310",
            "fax_number": "716-683-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434465",
            "telephone_number": "716-683-9310",
            "fax_number": "716-683-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT REHAB PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "TONSOLINE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER- PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "716-683-9310",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, P.T., A.T.C"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "NYS009291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Depew, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.