Individual provider Active NPI

Anthony Farace, DPT

  • Physical Therapist
  • Orchard Park, NY
National Provider Identifier
1639064280
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
054301 Issued in NY
Practice address
3810 Taylor Rd
Orchard Park, NY 14127-2232
Phone
(716) 854-5700
NPI assigned
Jun 12, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 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 054301 NY Primary

Addresses

Primary practice location

3810 Taylor Rd
Orchard Park, NY 14127-2232

Mailing address

700 Michigan Ave
Buffalo, NY 14203-1536
Phone (716) 854-5700

Other practice location 1

700 Michigan Ave
Buffalo, NY 14203-1536
Phone (716) 854-5700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250722000795 NY Practitioner - Physical Therapist in Private Practice 8820504376 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
Pinnacle Orthopedic and Spine Specialists, LLCGroup PAC ID 5799888004, 15 clinicians

Practice addresses (Care Compare)

3810 Taylor Rd
Orchard Park, NY 14127-2232
Phone (716) 854-5700

700 Michigan Ave
Buffalo, NY 14203-1536
Phone (716) 854-5700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Orthopedic & Spine Specialists, LLC CurrentSince Jun 23, 2025 Accepting new patients

Locations

700 Michigan Ave
Buffalo, NY 14203
Phone (716) 854-5700

3810 Taylor Rd
Orchard Park, NY 14127
Phone (716) 854-5700

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": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1639064280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MICHIGAN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031536",
            "telephone_number": "716-854-5700",
            "fax_number": "716-854-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 TAYLOR RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272232",
            "telephone_number": "716-854-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142031536",
            "country_code": "US",
            "telephone_number": "716-854-5700",
            "fax_number": "716-854-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARACE",
        "first_name": "ANTHONY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "054301",
            "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 Jun 12, 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.