Individual provider Active NPI

Emmalea Star Wier, DR.

  • Physical Therapist
  • West Seneca, NY
National Provider Identifier
1689418253
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
052444 Issued in NY
Practice address
100 Union Rd
West Seneca, NY 14224-4656
Phone
(716) 675-4444
NPI assigned
Jun 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 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 052444 NY Primary

Addresses

Primary practice location

100 Union Rd
West Seneca, NY 14224-4656

Mailing address

54 Whaley Ave
East Aurora, NY 14052-1729

Other names 1

  • Emmalea Star Erlandson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250130002201 NY Practitioner - Physical Therapist in Private Practice 3870022189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Island Physical Therapy PCGroup PAC ID 6901825926, 19 clinicians

Practice addresses (Care Compare)

100 Union Rd
West Seneca, NY 14224-4656
Phone (716) 675-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
052444NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Island Physical Therapy PC Physical Therapist CurrentSince Dec 23, 2024 Accepting new patients

Locations

1801 Grand Island Blvd
Grand Island, NY 14072
Phone (716) 773-4323

100 Union Rd
West Seneca, NY 14224
Phone (716) 675-4444

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": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1689418253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 WHALEY AVE",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142244656",
            "telephone_number": "716-675-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIER",
        "first_name": "EMMALEA",
        "middle_name": "STAR",
        "credential": "DR.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMALEA",
            "last_name": "ERLANDSON",
            "middle_name": "STAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.