Active NPI
Diane M Gorny
- Physical Therapist
- West Seneca, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 024463
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9314213 | Other | NY | IDEPENDENT HEALTH |
| 00027209001 | Other | NY | UNIVERA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024463 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New York Comptrollers Office | Current | 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.
-
- Developmental Disabilities Clinic/Center
- Staten Island, NY
- NPI 1750469912
-
- Developmental Disabilities Clinic/Center
- West Seneca, NY
- NPI 1528109188
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.