Individual provider Active NPI

Emma Jane Rehrauer, DPT

  • Physical Therapist
  • Kenmore, NY
National Provider Identifier
1679304653
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
053001-01 Issued in NY
Practice address
3767 Delaware Ave
Kenmore, NY 14217-1040
Phone
(716) 874-6175
NPI assigned
Aug 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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 053001-01 NY Primary

Addresses

Primary practice location

3767 Delaware Ave
Kenmore, NY 14217-1040

Mailing address

231 Lowell Rd
Kenmore, NY 14217-1221
Phone (716) 713-5325

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251016002365 NY Practitioner - Physical Therapist in Private Practice 7113414798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2564 Walden Ave
Suite 105
Cheektowaga, NY 14225-4759

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
053001-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Leger Therapy Services Inc. CurrentSince Oct 16, 2025 Accepting new patients
Associated Physical & Occupational Therapists, PLLC Physical Therapist PastSince Aug 18, 2024 Accepting new patients

Locations

500 Lanier Ave W
Ste 303
Fayetteville, GA 30214
Phone (770) 716-8885

4820 Genesee St
Cheektowaga, NY 14225
Phone (770) 575-2212

2564 Walden Ave
Ste 105
Cheektowaga, NY 14225
Phone (716) 288-7427

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1679304653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 LOWELL RD",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171221",
            "telephone_number": "716-713-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3767 DELAWARE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171040",
            "telephone_number": "716-874-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHRAUER",
        "first_name": "EMMA",
        "middle_name": "JANE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "053001-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.