Williamsville Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WILLIAMSVILLE PHYSICAL THERAPY PLLC

Practice address

8705 Sheridan Dr
Williamsville, NY 14221-6317

Phone

(716) 276-0556

NPI assigned

Jul 3, 2024

Organization subpart

No

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

Authorized official

Name

Vincent Prospero, P.T.

Title

Owner Provider

Phone

(716) 276-0556

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1760228274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140310029",
            "telephone_number": "716-276-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8705 SHERIDAN DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216317",
            "telephone_number": "716-276-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSVILLE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "PROSPERO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "716-276-0556",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Williamsville Medical Imaging PC
• Williamsville Obstetrics and Gynecology
• Williamsville Optical LLC
• Williamsville Orthopedic Surgery,PC
• Williamsville Pediatric Center
• Williamsville Psychiatry, PLLC
• Williamsville Suburban, LLC
• Briana Marie Willick
• Shannon Willis
• Anne Marie Willms, CRNA

• Physical Therapist in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.