Individual provider Active NPI

David Michael Koeppel

  • Physical Therapist
  • East Aurora, NY
National Provider Identifier
1629797147
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
048535 Issued in NY
Practice address
230 Main St
East Aurora, NY 14052-1635
Phone
(716) 458-1990
NPI assigned
Aug 26, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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 048535 NY Primary

Addresses

Primary practice location

230 Main St
East Aurora, NY 14052-1635

Mailing address

153 Flohr Ave
West Seneca, NY 14224-1819
Phone (716) 289-3803

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221006000514 NY Practitioner - Physical Therapist in Private Practice 6800272345 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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)

4498 Main St
Suite 24
Amherst, NY 14226-3826
Phone (716) 839-1550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048535NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Rehab Group Physical Therapy and Occupational Therapy PC Physical Therapist CurrentSince Aug 22, 2022 Accepting new patients
Swiatek Physical Therapy PLLC Physical Therapist CurrentSince Jun 1, 2023 Accepting new patients
Phoenix Physical Therapy Services, P.C. Physical Therapist PastSince Jun 1, 2023 Accepting new patients

Locations

4498 Main St
Ste 24
Buffalo, NY 14226
Phone (716) 839-1550

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

8865 Sheridan Dr
Clarence, NY 14031
Phone (716) 276-3196

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

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

Organizations & group practices 3

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": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1629797147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 FLOHR AVE",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241819",
            "telephone_number": "716-289-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MAIN ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521635",
            "telephone_number": "716-458-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEPPEL",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Aurora, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.