Individual provider Active NPI

Vase Nastevski, BS/MS PT

  • Physical Therapist
  • Buffalo, NY
National Provider Identifier
1730179755
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027203 Issued in NY
Practice address
101 Oak St
Buffalo, NY 14203-2215
Phone
(716) 856-4202
Fax
(716) 332-3570
NPI assigned
Oct 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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 027203 NY Primary

Addresses

Primary practice location

101 Oak St
Buffalo, NY 14203-2215

Mailing address

1291 Indian Church Rd
West Seneca, NY 14224-2003
Phone (716) 390-4516

Other identifiers 2

IdentifierTypeStateIssuer
000628898001OtherNYCOM. BLUE , BC/BS
00639487MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Master of Science

State licenses

LicenseStateTypeSpecialty
027203NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Valley Central School Past Accepting new patients
Chautauqua County Chapter of Nysarc Inc Past Accepting new patients

Organizations & group practices 2

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1730179755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 INDIAN CHURCH RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242003",
            "telephone_number": "716-390-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OAK ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142032215",
            "telephone_number": "716-856-4202",
            "fax_number": "716-332-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASTEVSKI",
        "first_name": "VASE",
        "credential": "BS/MS PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COM. BLUE , BC/BS",
            "identifier": "000628898001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00639487",
            "state": "NY"
        }
    ],
    "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 Sep 5, 2012; 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.