Individual provider Active NPI

Diane M Gorny

  • Physical Therapist
  • West Seneca, NY
National Provider Identifier
1841214517
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
024463 Issued in NY
Practice address
1200 East and West Rd
West Seneca, NY 14224-3604
Phone
(716) 433-6750
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 024463 NY Primary

Addresses

Primary practice location

1200 East and West Rd
West Seneca, NY 14224-3604

Mailing address

14 Manor Oak Dr
Amherst, NY 14228-3441
Phone (716) 691-2869

Other identifiers 2

IdentifierTypeStateIssuer
9314213OtherNYIDEPENDENT HEALTH
00027209001OtherNYUNIVERA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070216000481 NY Practitioner - Physical Therapist in Private Practice 4385746627 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
024463NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office CurrentSince Apr 23, 2023 Accepting new patients

Locations

44 Holland Ave
Fl 4
Albany, NY 12208

305 Main St
Binghamton, NY 13905
Phone (607) 729-1295

106 Pine St
Hamburg, NY 14075
Phone (716) 646-0048

1200 East and West Rd
Bldg 16
West Seneca, NY 14224
Phone (716) 517-2000

1200 East and West Rd
West Seneca, NY 14224
Phone (716) 517-3475

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1841214517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MANOR OAK DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142283441",
            "telephone_number": "716-691-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EAST AND WEST RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243604",
            "telephone_number": "716-433-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORNY",
        "first_name": "DIANE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDEPENDENT HEALTH",
            "identifier": "9314213",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00027209001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.