Individual provider Active NPI

Sylbie Hodas-Gates, DPT

  • Physical Therapist
  • Kenmore, NY
National Provider Identifier
1699845362
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0216291 Issued in NY
Practice address
2438 Elmwood Ave
Kenmore, NY 14217
Phone
(716) 873-9154
Fax
(716) 875-3796
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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 0216291 NY Primary

Addresses

Primary practice location

2438 Elmwood Ave
Kenmore, NY 14217

Mailing address

2438 Elmwood Ave
Kenmore, NY 14217
Phone (716) 873-9154

Other identifiers 3

IdentifierTypeStateIssuer
000626213002OtherBLUE CROSS
8990519OtherINDEPENDENT HEALTH
827945OtherEMPIRE

Other names 1

  • Sylbie Hodas Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111114000772 NY Practitioner - Physical Therapist in Private Practice 9739353509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ken-Ton Physical Therapy, PLLCGroup PAC ID 8628040706, 7 clinicians

Practice addresses (Care Compare)

2438 Elmwood Ave
Kenmore, NY 14217-2244
Phone (716) 873-9154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0216291NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ken-Ton Physical Therapy, PLLC Physical Therapist CurrentSince Dec 30, 2002 Accepting new patients

Locations

2438 Elmwood Ave
Kenmore, NY 14217
Phone (716) 873-9154

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1699845362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2438 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "14217",
            "telephone_number": "716-873-9154",
            "fax_number": "716-875-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2438 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "14217",
            "telephone_number": "716-873-9154",
            "fax_number": "716-875-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODAS-GATES",
        "first_name": "SYLBIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0216291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000626213002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "8990519",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "827945",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYLBIE",
            "last_name": "HODAS",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jun 7, 2019; 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.