Individual provider Active NPI

Stephanie Fino, DPT

  • Physical Therapist
  • Orchard Park, NY
National Provider Identifier
1790426641
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62037785 Issued in NY
Practice address
41 Kathryn Dr
Orchard Park, NY 14127-2024
Phone
(585) 953-8940
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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 62037785 NY Primary

Addresses

Primary practice location

41 Kathryn Dr
Orchard Park, NY 14127-2024

Mailing address

41 Kathryn Dr
Orchard Park, NY 14127-2024

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241024002878 NY Practitioner - Physical Therapist in Private Practice 7012440399 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62037785NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Home-Based Physical Therapy PLLC Physical Therapist CurrentSince Sep 15, 2024 Accepting new patients
Metro Care Providers PT, PLLC Physical Therapist CurrentSince Sep 15, 2024 Accepting new patients

Locations

170 Murray St
Auburn, NY 13021
Phone (315) 253-2755

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1790426641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 KATHRYN DR",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 KATHRYN DR",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272024",
            "telephone_number": "585-953-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINO",
        "first_name": "STEPHANIE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "62037785",
            "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 Apr 5, 2022; 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.