Organization Active NPI

East Amherst Physical Therapy, PC

  • Physical Therapist
  • Orchard Park, NY
National Provider Identifier
1710994488
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EAST AMHERST PHYSICAL THERAPY, PC
Practice address
3045 Southwestern Blvd
Suite 102
Orchard Park, NY 14127-1209
Phone
(716) 674-6859
Fax
(716) 674-3758
NPI assigned
Aug 2, 2006
Last updated
Jan 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Mr. Robert Jachimowicz, PTNPI 1376585125
Title
Physical Therapist/Owner
Phone
(716) 674-6859

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X NY Primary

Addresses

Primary practice location

3045 Southwestern Blvd
Suite 102
Orchard Park, NY 14127-1209

Mailing address

3045 Southwestern Blvd
Suite 102
Orchard Park, NY 14127-1209
Phone (716) 674-6859

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1710994488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 SOUTHWESTERN BLVD",
            "address_2": "SUITE 102",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271209",
            "telephone_number": "716-674-6859",
            "fax_number": "716-674-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 SOUTHWESTERN BLVD",
            "address_2": "SUITE 102",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271209",
            "telephone_number": "716-674-6859",
            "fax_number": "716-674-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST AMHERST PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "JACHIMOWICZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "716-674-6859",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.