Individual provider Active NPI

Thomas F Zdrojewski, PT

  • Physical Therapist
  • Williamsville, NY
National Provider Identifier
1922108281
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013710 Issued in NY
Practice address
192 Park Club Lane
Suite 110
Williamsville, NY 14221-5326
Phone
(716) 632-9200
Fax
(716) 632-1730
NPI assigned
Sep 25, 2006
Last updated
Sep 18, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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 013710 NY Primary

Addresses

Primary practice location

192 Park Club Lane
Suite 110
Williamsville, NY 14221-5326

Mailing address

192 Park Club Lane
Suite 110
Williamsville, NY 14221-5326
Phone (716) 632-9200

Other identifiers 4

IdentifierTypeStateIssuer
9309333OtherNYIHA/HMO
000625436002OtherNYBCBS
1345891OtherNYAETNA
00026865901OtherNYUNIVERA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040901000323 NY Practitioner - Physical Therapist in Private Practice 8527972082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Care Physical Therapy Aquatics and Fitness PCGroup PAC ID 7113990466, 24 clinicians

Practice addresses (Care Compare)

3780 Commerce CT
Suite 300
North Tonawanda, NY 14120-2025
Phone (716) 282-2888

924 Main St
Niagara Falls, NY 14301-1110
Phone (716) 282-2888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013710NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Care Physical Therapy Aquatics and Fitness PC Physical Therapist CurrentSince Jun 2, 2025 Accepting new patients
Buffalo Physical Therapy & Sports Rehabilitation, PC Physical Therapist CurrentSince Sep 7, 2004 Accepting new patients

Locations

924 Main St
Niagara Falls, NY 14301

50 Charles Lindbergh Blvd
Ste 103
Uniondale, NY 11553
Phone (516) 294-4590

192 Park Club Ln
Ste 110
Williamsville, NY 14221
Phone (716) 632-9200

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, 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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253232000000",
    "number": "1922108281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 PARK CLUB LANE",
            "address_2": "SUITE 110",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215326",
            "telephone_number": "716-632-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 PARK CLUB LANE",
            "address_2": "SUITE 110",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215326",
            "telephone_number": "716-632-9200",
            "fax_number": "716-632-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZDROJEWSKI",
        "first_name": "THOMAS",
        "middle_name": "F",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2009-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA/HMO",
            "identifier": "9309333",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000625436002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1345891",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026865901",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.