Individual provider Active NPI

Kristopher Ross Schultz, DPT

  • Physical Therapist
  • West Seneca, NY
National Provider Identifier
1740468735
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
026951-1 Issued in NY
Practice address
560 Center Rd
West Seneca, NY 14224-2157
Phone
(716) 674-1509
Fax
(716) 674-1787
NPI assigned
Feb 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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 026951-1 NY Primary

Addresses

Primary practice location

560 Center Rd
West Seneca, NY 14224-2157

Mailing address

1317 Harlem Rd
Cheektowaga, NY 14206-1902
Phone (716) 674-1509

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080310000460 NY Practitioner - Physical Therapist in Private Practice 9133204530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1317 Harlem Rd
Cheektowaga, NY 14206-1902
Phone (716) 674-1509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
026951-1NYMDPhysical Therapist
026951NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
West Seneca Physical Therapy, PC Physical Therapist CurrentSince Sep 29, 2010 Accepting new patients
Performance Sports Physical Therapy PC Physical Therapist Past Accepting new patients

Locations

1317 Harlem Rd
Cheektowaga, NY 14206
Phone (716) 674-1509

560 Center Rd
West Seneca, NY 14224
Phone (716) 674-1509

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1740468735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 HARLEM RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142061902",
            "telephone_number": "716-674-1509",
            "fax_number": "716-674-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 CENTER RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242157",
            "telephone_number": "716-674-1509",
            "fax_number": "716-674-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "KRISTOPHER",
        "middle_name": "ROSS",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-01",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026951-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.