Ethos Performance Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ETHOS PERFORMANCE PHYSICAL THERAPY PLLC

Doing business as

Ethos Performance and Pelvic Physical Therapy

Practice address

2205 Kenmore Ave Ste 108
Buffalo, NY 14207-1329

Phone

(716) 248-8279

NPI assigned

Apr 15, 2024

Last updated

Apr 15, 2024By 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

Matthew Veronica, DPTNPI 1174998926

Title

Member

Phone

(716) 248-8279

Specialties & licenses 1

Addresses

Other names 1

• Ethos Performance and Pelvic Physical Therapy Doing business as

Locations

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.

• Matthew Veronica, DPT

  • Physical Therapist
  • Buffalo, NY
  • NPI 1174998926
  NPD Authorized official

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1790539872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 KENMORE AVE STE 108",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142071329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 KENMORE AVE STE 108",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142071329",
            "telephone_number": "716-248-8279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2390 N Forest Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Getzville",
            "state": "NY",
            "postal_code": "140681294",
            "country_code": "US",
            "telephone_number": "716-248-8279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ETHOS PERFORMANCE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "VERONICA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "716-248-8279",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ethos Performance and Pelvic Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacy B Essex, LCSW R
• Jeremy Walker Essman, RPA-C
• Sol del Rosario Estrada Pena
• Richard Alan Etengoff, DDS
• Stephane Ethier, M.D.
• Ethos Performance Rehab LLC
• Emily Ets-Hokin, PH.D.
• Donald Kitungano Etulo
• Christine Marie Etzel, MD
• Lindsey Euscher, MD

• Physical Therapy Clinic/Center in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.