Active NPI
Luis Carlos Daguiar, P.T.
- Physical Therapist
- Buffalo, NY
National Provider Identifier
1922033158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 011243-1
- Practice address
- 3495 Bailey Ave
Physical Therapy Dept.
Buffalo, NY 14215-1129 - Phone
- (716) 862-8662
- Fax
- (716) 862-8664
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 011243-1 | NY | Primary |
Addresses
Primary practice location
3495 Bailey Ave
Physical Therapy Dept.
Buffalo, NY 14215-1129
Mailing address
3495 Bailey Ave.
Physical Therapy Dept.
Buffalo, NY 14215
Phone (716) 862-8662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011243-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922033158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3495 BAILEY AVE.",
"address_2": "PHYSICAL THERAPY DEPT.",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14215",
"telephone_number": "716-862-8662",
"fax_number": "716-862-8664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3495 BAILEY AVE",
"address_2": "PHYSICAL THERAPY DEPT.",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142151129",
"telephone_number": "716-862-8662",
"fax_number": "716-862-8664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAGUIAR",
"first_name": "LUIS",
"middle_name": "CARLOS",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "011243-1",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.