Phillip J Kaczmarek, D.C., P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

018590-1 Issued in NY

Practice address

2448 Union Rd
Cheektowaga, NY 14227-2230

Phone

(716) 656-0200

Fax

(716) 656-0055

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

State University of New York at Buffalo School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Usrh D.C & P.T., P.C.

  • Physical Therapist
  • Cheektowaga, NY
  • NPI 1467622431
  Medicare reassignment NPD Authorized official
• Usrh D.C. & P.T., P.C.

  • Rehabilitation Chiropractor
  • Cheektowaga, NY
  • NPI 1528211935
  NPD

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1679657639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 UNION RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142272230",
            "telephone_number": "716-656-0200",
            "fax_number": "716-656-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 UNION RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142272230",
            "telephone_number": "716-656-0200",
            "fax_number": "716-656-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACZMAREK",
        "first_name": "PHILLIP",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C., P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NY",
            "license": "X010491-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018590-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH, PT",
            "identifier": "9311595",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA, PT",
            "identifier": "00025998702",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE, PT",
            "identifier": "006268201",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ajay Jurangal, MD
• Gilda V Jusino, DENTIST DMD
• Gregory Juul Jr., LPN
• Diana L Kachurka, LCSW-R
• Brooke Jayme Kaczcoughnett, NP
• Lisa M Kaczorowski
• Brenda Lynn Kahn, CRNA
• K Tankut Kahraman, RPH
• Erica Janean Kaiser, LMT
• Jessica Kaiser

• Physical Therapist in Cheektowaga, NY
• Providers in Cheektowaga, 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 Sep 30, 2014; 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.