Active NPI
Meredith Colville, PT, DPT
- Physical Therapist
- Buffalo, NY
National Provider Identifier
1952851503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040556
- Practice address
- 50 E North St
Buffalo, NY 14203-1002 - Phone
- (716) 885-8318
- NPI assigned
- Oct 6, 2016
- Last updated
- Dec 17, 2020
- Sex
- Female
- 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 | 040556 | NY | Primary |
Addresses
Primary practice location
50 E North St
Buffalo, NY 14203-1002
Mailing address
473 Oakwood Ave Apt 3
East Aurora, NY 14052-2361
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 |
|---|---|---|---|
| 040556 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608163200000",
"number": "1952851503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "473 OAKWOOD AVE APT 3",
"city": "EAST AURORA",
"state": "NY",
"postal_code": "140522361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E NORTH ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031002",
"telephone_number": "716-885-8318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLVILLE",
"first_name": "MEREDITH",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-06",
"last_updated": "2020-12-17",
"certification_date": "2020-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "040556",
"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 Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.