Active NPI
Deborah Anne Waldorf, PT
- Physical Therapist
- Depew, NY
National Provider Identifier
1659144715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 010029-01
- Practice address
- 2049 George Urban Blvd
Depew, NY 14043-1823 - Phone
- (716) 901-8700
- NPI assigned
- Nov 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 010029-01 | NY | Primary |
Addresses
Primary practice location
2049 George Urban Blvd
Depew, NY 14043-1823
Mailing address
2049 George Urban Blvd
Depew, NY 14043-1823
Phone (716) 901-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010029-01 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cantalician Center for Learning, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Early Intervention Provider Agency
- Depew, NY
- NPI 1174789242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698796800000",
"number": "1659144715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2049 GEORGE URBAN BLVD",
"city": "DEPEW",
"state": "NY",
"postal_code": "140431823",
"telephone_number": "716-901-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2049 GEORGE URBAN BLVD",
"city": "DEPEW",
"state": "NY",
"postal_code": "140431823",
"telephone_number": "716-901-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDORF",
"first_name": "DEBORAH",
"middle_name": "ANNE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-01",
"last_updated": "2023-11-01",
"certification_date": "2023-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "010029-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Depew, NY
- Lauren Vinson, BSW
- Jeanette Ann Vitello, PT
- Lisa Marie Voigt, PHARM.D
- Elizabeth Vonwald
- Wal-Mart Stores East LP (WalMart Pharmacy 10-5027)
- Brittany Waldron, M.S CCC-SLP/L
- Walgreen Co (Walgreens #05714)
- Walgreen Eastern Co Inc (Walgreens #03859)
- Christina Marie Walkowski, DC
- Brianna Marie Wallenhorst, MD, RD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.