Organization Active NPI

Western New York Physical and Occupational Therapy Group PLLC

  • Physical Therapist
  • Depew, NY
National Provider Identifier
1881647261
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WESTERN NEW YORK PHYSICAL AND OCCUPATIONAL THERAPY GROUP PLLC
Practice address
6301 Transit Rd
Depew, NY 14043-1051
Phone
(716) 684-0400
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Authorized official

Name
Walter R Szymanski, PTNPI 1194791137
Title
Ceo
Phone
(176) 684-0400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

6301 Transit Rd
Depew, NY 14043-1051

Mailing address

6301 Transit Rd
Depew, NY 14043-1051
Phone (716) 684-0400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406001052 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4880687730 Receives reassigned benefits from 5 practitioners
Practice locations: Chaffee, NY; Depew, NY; Salamanca, NY

National Provider Directory

National Provider Directory

Locations

12399 Olean Rd
Chaffee, NY 14030
Phone (716) 496-5550

12399 Olean Rd
Ste B
Chaffee, NY 14030
Phone (716) 496-5550

6301 Transit Rd
#A
Depew, NY 14043
Phone (716) 684-0400

6301 Transit Rd
Depew, NY 14043
Phone (716) 684-0400

6133 Route 219 S
Ste 1002
Ellicottville, NY 14731
Phone (716) 699-2312

6133 Route 219 S
Ste 2
Ellicottville, NY 14731
Phone (716) 699-2312

4039 Route 219
Ste 104
Salamanca, NY 14779
Phone (716) 945-2484

Practitioners & affiliated clinicians

Practitioners 81

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 81

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1881647261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140431051",
            "telephone_number": "716-684-0400",
            "fax_number": "716-683-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140431051",
            "telephone_number": "716-684-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN NEW YORK PHYSICAL AND OCCUPATIONAL THERAPY GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "SZYMANSKI",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "176-684-0400",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Depew, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.