Individual provider Active NPI

Victoria Lucile Kraska, PT, DPT

  • Physical Therapist
  • Hamburg, NY
National Provider Identifier
1891396321
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
046365 Issued in NY
Practice address
3040 Amsdell Rd Ste 207B
Hamburg, NY 14075-5835
Phone
(716) 649-0444
NPI assigned
Nov 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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 046365 NY Primary

Addresses

Primary practice location

3040 Amsdell Rd Ste 207B
Hamburg, NY 14075-5835

Mailing address

9342 Jennings Rd
Eden, NY 14057-9515
Phone (716) 868-2194

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210218001886 NY Practitioner - Physical Therapist in Private Practice 0547675829 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brierwood Physical Therapy, P.C.Group PAC ID 7315246931, 3 clinicians

Practice addresses (Care Compare)

3040 Amsdell Rd
Suite 207B
Hamburg, NY 14075-5835
Phone (716) 649-0444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046365NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brierwood Physical Therapy, P.C. Physical Therapist CurrentSince Jun 21, 2021 Accepting new patients
Affinity Rehabilitation LLP CurrentSince Jan 16, 2021 Accepting new patients

Locations

3040 Amsdell Rd
Ste 207B
Hamburg, NY 14075
Phone (716) 649-0444

1 Johnsarbor Dr W
Rochester, NY 14620
Phone (585) 532-7214

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": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1891396321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9342 JENNINGS RD",
            "city": "EDEN",
            "state": "NY",
            "postal_code": "140579515",
            "telephone_number": "716-868-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 AMSDELL RD STE 207B",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140755835",
            "telephone_number": "716-649-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASKA",
        "first_name": "VICTORIA",
        "middle_name": "LUCILE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.