Individual provider Active NPI

David C. Sterns, P.T.

  • Physical Therapist
  • Buffalo, NY
National Provider Identifier
1861586794
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011424-1 Issued in NY
Practice address
2495 Main St
Suite 234
Buffalo, NY 14214-2152
Phone
(716) 836-5929
Fax
(716) 836-6057
NPI assigned
Oct 3, 2006
Last updated
Feb 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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 011424-1 NY Primary

Addresses

Primary practice location

2495 Main St
Suite 234
Buffalo, NY 14214-2152

Mailing address

2495 Main St
Suite 234
Buffalo, NY 14214-2152
Phone (716) 836-5929

Other identifiers 5

IdentifierTypeStateIssuer
6698102OtherNYGHI
000011331601OtherNYUNIVERA
01801638MedicaidNY
000612250001OtherNYBLUE CROSS/BLUE SHIELD
9308300OtherNYINDEPENDENT HEALTH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080516000632 NY Practitioner - Physical Therapist in Private Practice 6406925429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York at Buffalo School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2495 Main St
Buffalo, NY 14214-2152
Phone (716) 836-5929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011424-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Occupational and Physical Therapy Associates Services PLLC Physical Therapist CurrentSince Jun 1, 2008 Accepting new patients

Locations

2495 Main St
Ste 234
Buffalo, NY 14214
Phone (716) 836-5929

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1861586794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 MAIN ST",
            "address_2": "SUITE 234",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142152",
            "telephone_number": "716-836-5929",
            "fax_number": "716-836-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 MAIN ST",
            "address_2": "SUITE 234",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142152",
            "telephone_number": "716-836-5929",
            "fax_number": "716-836-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERNS",
        "first_name": "DAVID",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011424-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6698102",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "000011331601",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01801638",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "000612250001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9308300",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.