Individual provider Active NPI

Andrew Mark Vincek, PT, DPT

  • Physical Therapist
  • Fredonia, NY
National Provider Identifier
1700604741
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT022307 Issued in OH
Practice address
12 Brigham Rd
Fredonia, NY 14063-1000
Phone
(716) 679-7447
NPI assigned
Sep 30, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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 PT022307 OH Primary

Addresses

Primary practice location

12 Brigham Rd
Fredonia, NY 14063-1000

Mailing address

12 Brigham Rd
Fredonia, NY 14063-1000
Phone (716) 679-7447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WA, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20241028002388 NY Practitioner - Physical Therapist in Private Practice 8921531088 Reassigns benefits to 1 organization
I20250321002836 WA Practitioner - Physical Therapist in Private Practice 8921531088 Reassigns benefits to 2 organizations
I20251117000399 FL Practitioner - Physical Therapist in Private Practice 8921531088 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
Fitness Quest - Venice LLCGroup PAC ID 9739125964, 44 clinicians

Practice addresses (Care Compare)

1649 Tamiami TRL
Suite 1Aandb
Port Charlotte, FL 33948-1019
Phone (941) 743-6700

945 Hildebrand LN NE
Suite 220
Bainbridge Island, WA 98110-2877
Phone (206) 842-6288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT022307OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Mar 7, 2025 Accepting new patients
Multicare Health System CurrentSince Mar 7, 2025 Accepting new patients
Fitness Quest - Venice LLC Physical Therapist CurrentSince Oct 13, 2025 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince Jun 23, 2025 Accepting new patients
Fredonia Physical Therapy, PLLC Physical Therapist CurrentSince Sep 27, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Fitness Quest - Venice LLC CurrentSince Oct 13, 2025 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince Jun 23, 2025 Accepting new patients

Locations

3657 Cortez Rd W
Ste 110
Bradenton, FL 34210
Phone (941) 361-9020

1649 Tamiami Trl
Ste 1AB
Port Charlotte, FL 33948
Phone (941) 743-6700

400 Tamiami Trl S
Ste 210
Venice, FL 34285
Phone (877) 469-3778

12 Brigham Rd
Fredonia, NY 14063
Phone (716) 672-2592

945 Hildebrand Ln NE
Ste 220
Bainbridge Island, WA 98110
Phone (206) 842-6288

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

2727 Hollycroft St
Ste 310
Gig Harbor, WA 98335
Phone (253) 514-6757

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

2400 NW Myhre Rd
Ste 101
Silverdale, WA 98383
Phone (360) 598-3764

2400 NW Myhre Rd
Ste 102
Silverdale, WA 98383
Phone (360) 598-3764

Organizations & group practices 8

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": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1700604741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BRIGHAM RD",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631000",
            "telephone_number": "716-679-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BRIGHAM RD",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631000",
            "telephone_number": "716-679-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCEK",
        "first_name": "ANDREW",
        "middle_name": "MARK",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-30",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT022307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredonia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.