Active NPI
Elliott Pohlman, DPT
- Orthopedic Physical Therapist
- Buffalo, NY
National Provider Identifier
1720817273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 052948
- Practice address
- 2625 Delaware Ave
Buffalo, NY 14216-1705 - Phone
- (716) 874-2759
- NPI assigned
- Jul 31, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 052948 | NY | Primary |
Addresses
Primary practice location
2625 Delaware Ave
Buffalo, NY 14216-1705
Mailing address
2625 Delaware Ave
Buffalo, NY 14216-1705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
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
Practice addresses (Care Compare)
2625 Delaware Ave
Suite 106
Buffalo, NY 14216-1705
Phone (716) 874-2759
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052948 | NY | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin R Koslosky ,PT ,P.C. | Orthopedic | Current | Accepting new patients |
Locations
2625 Delaware Ave
Buffalo, NY 14216
Phone (716) 447-6450
2625 Delaware Ave
Ste 106
Buffalo, NY 14216
Phone (716) 874-2759
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": "1722384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1720817273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 DELAWARE AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142161705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 DELAWARE AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142161705",
"telephone_number": "716-874-2759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POHLMAN",
"first_name": "ELLIOTT",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-31",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "052948",
"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 Aug 14, 2024; 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.