Northtown Buffalo Physical Therapy PLLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

NORTHTOWN BUFFALO PHYSICAL THERAPY PLLC

Practice address

5225 Sheridan Dr Ste 21
Williamsville, NY 14221-3567

Phone

(716) 631-2626

NPI assigned

Apr 12, 2021

Last updated

Apr 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan Gutt, DPTNPI 1871040337

Title

Physical Therapist

Phone

(716) 909-7108

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Gutt, DPT

  • Physical Therapist
  • Buffalo, NY
  • NPI 1871040337
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1770163917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 PARAMOUNT PKWY",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "142231075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 SHERIDAN DR STE 21",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213567",
            "telephone_number": "716-631-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHTOWN BUFFALO PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "GUTT",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "716-909-7108",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyn Michael Norman, D.O.
• Anastasia Norman, LPN
• Karle William Norman
• Christina Marie Norris, RPA-C
• Northeast Ambulatory Anesthesia PLLC
• Northtown Physical Therapy, P.C.
• Northtowns Ambulatory Surgery Center, LLC
• Northtowns Imaging PC
• Northtowns Imaging PC
• Northtowns Imaging PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.