Jeffrey David Kirchmyer, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

024373-1 Issued in NY

Practice address

1900 Ridge Rd
Ste 116
West Seneca, NY 14224-3332

Phone

(716) 674-9600

Fax

(716) 674-9700

NPI assigned

Oct 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kirchmyer and Goode Physical Therapists PCGroup PAC ID 1052352473, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kirchmyer & Goode Physical Therapists PC

  dba ProActive Sports Rehab

  • Physical Therapist
  • West Seneca, NY
  • NPI 1306925151
  Medicare reassignment Care Compare group Authorized official
• Buffalo Rehab Group Physical Therapy and Occupational Therapy PC

  • Physical Therapist
  • West Seneca, NY
  • NPI 1548290943
  NPD (past)

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1811986730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 RIDGE RD",
            "address_2": "STE 116",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243332",
            "telephone_number": "716-674-9600",
            "fax_number": "716-674-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 RIDGE RD",
            "address_2": "STE 116",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243332",
            "telephone_number": "716-674-9600",
            "fax_number": "716-674-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRCHMYER",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024373-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "000626887003",
            "identifier": "BCBS",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA NUMBER",
            "identifier": "00027049601",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9390497",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian P Kimple, RPH
• Barbara King, P.A.
• Evan King, DPT
• Kaitlyn Marie Kinkade
• Kirchmyer & Goode Physical Therapists PC (ProActive Sports Rehab)
• Danielle Anne Kirchner, PHARMD
• Maureen Kirkpatrick
• Zolton Kish
• Rachel M Kistner, PA-C
• Ann S Klein, RD CDE

• Physical Therapist in West Seneca, NY
• Providers in West Seneca, 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 Nov 22, 2019; 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.