NPIMap

Organization Active NPI

Performance Sports Physical Therapy PC

  • Specialist
  • West Seneca, NY
National Provider Identifier
1952375990
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PERFORMANCE SPORTS PHYSICAL THERAPY PC
Practice address
560 Center Rd
West Seneca, NY 14224-2157
Phone
(716) 674-1509
Fax
(716) 674-1787
NPI assigned
Feb 15, 2006
Last updated
Oct 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Mr. Dennis Leslie Horrigan, P.T.NPI 1265406599
Title
Owner/President
Phone
(716) 674-1509

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

560 Center Rd
West Seneca, NY 14224-2157

Mailing address

560 Center Rd
West Seneca, NY 14224-2157
Phone (716) 674-1509

Other identifiers 1

IdentifierTypeStateIssuer
00011197201OtherNYUNIVERA

National Provider Directory

National Provider Directory

Locations

560 Center Rd
West Seneca, NY 14224
Phone (716) 674-1509

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1952375990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 CENTER RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242157",
            "telephone_number": "716-674-1509",
            "fax_number": "716-674-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 CENTER RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242157",
            "telephone_number": "716-674-1509",
            "fax_number": "716-674-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE SPORTS PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "HORRIGAN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "716-674-1509",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00011197201",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.