Willie Abbott Dantzler, PHYSICAL THERAPIST A

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0055361 Issued in NY

Practice address

150 Stahl Rd
Summit Educational Resources
Getzville, NY 14068

Phone

(716) 629-3400

NPI assigned

Mar 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700917903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 ACADEMY RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14211",
            "telephone_number": "716-893-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 STAHL RD",
            "address_2": "SUMMIT EDUCATIONAL RESOURCES",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "14068",
            "telephone_number": "716-629-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTZLER",
        "first_name": "WILLIE",
        "middle_name": "ABBOTT",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "0055361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda I Czworka, LMHC
• Patricia Lynne Daigler, COTA
• Amy Dake
• Cordie Daniels, RN
• Caili Danieu
• Leslie Genevieve Davies, PHD
• Diana R Demarco, MS DIANA DEMARCO
• Anna Demartin, M.S.ED
• Mariah M Demmin, M.S.,OTR/L
• Brenden Kyle Diaz

• Physical Therapy Assistant in Getzville, NY
• Providers in Getzville, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.