Individual provider Active NPI

Matthew Owcarz, DPT

  • Physical Therapist
  • Orchard Park, NY
National Provider Identifier
1740324045
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26375 Issued in NY
Practice address
3940 California Rd
Orchard Park, NY 14127-2275
Phone
(716) 662-2922
Fax
(716) 662-3828
NPI assigned
Feb 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 26375 NY Primary

Addresses

Primary practice location

3940 California Rd
Orchard Park, NY 14127-2275

Mailing address

3940 California Rd
Orchard Park, NY 14127-2275
Phone (716) 662-2922

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051123000339 NY Practitioner - Physical Therapist in Private Practice 9032139803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Susan E Bennett PT PCGroup PAC ID 9133149925, 11 clinicians

Practice addresses (Care Compare)

3352 Southwestern Blvd
Orchard Park, NY 14127-1524
Phone (716) 803-8220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26375NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Susan E Bennett PT PC CurrentSince Jan 1, 2006 Accepting new patients

Locations

3940 California Rd
Orchard Park, NY 14127
Phone (716) 662-2922

3352 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 662-2922

2075 Sheridan Dr
Ste D
Tonawanda, NY 14223
Phone (716) 803-8220

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740324045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 CALIFORNIA RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272275",
            "telephone_number": "716-662-2922",
            "fax_number": "716-662-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 CALIFORNIA RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272275",
            "telephone_number": "716-662-2922",
            "fax_number": "716-662-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWCARZ",
        "first_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "26375",
            "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 Jul 8, 2007; 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.