Body Dynamics Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0267691 Issued in NY

Legal business name

BODY DYNAMICS PHYSICAL THERAPY

Practice address

5435 Sheridan Dr
Williamsville, NY 14221-3609

Phone

(716) 348-8734

NPI assigned

Jun 12, 2008

Last updated

Jun 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jenna Calabrese Vaeth, DPTNPI 1124165253

Title

Owner

Phone

(716) 348-8734

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jenna Calabrese Vaeth, PT

  • Physical Therapist
  • Williamsville, NY
  • NPI 1124165253
  NPD (past) Authorized official

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1891955894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 MICHAEL DOUGLAS DR",
            "city": "CLARENCE CENTER",
            "state": "NY",
            "postal_code": "140329276",
            "telephone_number": "716-348-8734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 SHERIDAN DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213609",
            "telephone_number": "716-348-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY DYNAMICS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "VAETH",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "CALABRESE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-348-8734",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0267691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.