Individual provider Active NPI

Anchelle Berrios-Irizarry, PT

  • Physical Therapist
  • Buffalo, NY
National Provider Identifier
1710416771
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
041622 Issued in NY
Practice address
285 Delaware Ave Ste 116
Buffalo, NY 14202-1885
Phone
(716) 381-8214
Fax
(716) 381-8215
NPI assigned
Jun 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 041622 NY Primary

Addresses

Primary practice location

285 Delaware Ave Ste 116
Buffalo, NY 14202-1885

Mailing address

285 Delaware Ave Ste 116
Buffalo, NY 14202-1885
Phone (716) 381-8214

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170714000276 NY Practitioner - Physical Therapist in Private Practice 7618247230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excelsior Orthopaedics LLPGroup PAC ID 2062491517, 146 clinicians

Practice addresses (Care Compare)

3670 S Benzing Rd
Suite K
Orchard Park, NY 14127-1741
Phone (716) 250-6500

3925 Sheridan Dr
Amherst, NY 14226-1738
Phone (716) 250-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041622NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Excelsior Orthopaedics, LLP CurrentSince Jun 9, 2025 Accepting new patients
Excelsior Orthopaedics LLP Physical Therapist CurrentSince Jun 9, 2025 Accepting new patients
Encompass Health Rehabilitation Hospital of Florence, Inc. PastSince Jun 7, 2017 Accepting new patients

Locations

3925 Sheridan Dr
Buffalo, NY 14226
Phone (716) 250-6500

2540 Sheridan Dr
Tonawanda, NY 14150
Phone (716) 862-0567

Interoperability endpoints

  • Direct secure messaging: aberrios-irizarry@excelsiorortho.medentdirect.com

Organizations & group practices 3

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": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710416771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 DELAWARE AVE STE 116",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021885",
            "telephone_number": "716-381-8214",
            "fax_number": "716-381-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 DELAWARE AVE STE 116",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021885",
            "telephone_number": "716-381-8214",
            "fax_number": "716-381-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRIOS-IRIZARRY",
        "first_name": "ANCHELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.