Individual provider Active NPI

Michael Peter Strosky Jr., PT

  • Physical Therapist
  • Elma, NY
National Provider Identifier
1962543538
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
021799-1 Issued in NY
Practice address
960 Maple Rd
Elma, NY 14059-9530
Phone
(716) 805-1555
Fax
(716) 805-1440
NPI assigned
Feb 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 021799-1 NY Primary

Addresses

Primary practice location

960 Maple Rd
Elma, NY 14059-9530

Mailing address

70 Highland Ave
Buffalo, NY 14222-1814
Phone (716) 572-1325

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080507000607 NY Practitioner - Physical Therapist in Private Practice 5890874481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Adult Services Inc.Group PAC ID 1658378583, 14 clinicians

Practice addresses (Care Compare)

960 W Maple CT
Elma, NY 14059-9397
Phone (716) 805-1440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
021799-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Adult Services-Inc. CurrentSince Oct 1, 2006 Accepting new patients

Locations

960 W Maple Ct
Elma, NY 14059
Phone (716) 805-1440

Organizations & group practices 1

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962543538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 HIGHLAND AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142221814",
            "telephone_number": "716-572-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 MAPLE RD",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "140599530",
            "telephone_number": "716-805-1555",
            "fax_number": "716-805-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROSKY",
        "first_name": "MICHAEL",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021799-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elma, 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.
  • 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.