Elizabeth Wierzba

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

027297 Issued in NY

Practice address

2495 Main St
Suite 234
Buffalo, NY 14214-2152

Phone

(716) 836-5929

Fax

(716) 836-6057

NPI assigned

Jun 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Gambino Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Optimal Occupational and Physical Therapy Associates Services PLLC

  • Occupational Therapist
  • Buffalo, NY
  • NPI 1497927263

  Physical Therapist

  NPD (past)
• Tri-County Physical Therapy, PC

  • Physical Therapist
  • Gowanda, NY
  • NPI 1083660765
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1649219122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 MAIN ST",
            "address_2": "SUITE 234",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142152",
            "telephone_number": "716-836-5929",
            "fax_number": "716-836-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 MAIN ST",
            "address_2": "SUITE 234",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142152",
            "telephone_number": "716-836-5929",
            "fax_number": "716-836-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIERZBA",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "GAMBINO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edna Wielbon
• Kim Marie Wielgasz, M.S. CCC/SLP
• Carla Wienke, MS, CAS
• Ann L. Wiertel, FNP
• Christina Wiertel, ANP
• Matthew L. Wiese, M.D.
• Katie Marie Wigdorski, FNP
• Chevelle Miranda Wiggins
• Sincere Sheron Wiggins
• Venus Mishele Wiggins, MASTER- CASAC

• Physical Therapist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.