Individual provider Active NPI

Philip John Wojtas, OTR

  • Occupational Therapist
  • Williamsville, NY
National Provider Identifier
1962913905
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
387576 Issued in NY
Practice address
8637 Main St
Williamsville, NY 14221-7501
Phone
(716) 634-1578
Fax
(716) 634-3947
NPI assigned
Oct 17, 2017
Last updated
Oct 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 387576 NY Primary

Addresses

Primary practice location

8637 Main St
Williamsville, NY 14221-7501

Mailing address

8637 Main St
Williamsville, NY 14221-7501
Phone (716) 634-1578

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171220001013 NY Practitioner - Occupational Therapist in Private Practice 8325306376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wny Occupational Therapy Services PLLCGroup PAC ID 2466840814, 2 clinicians

Practice addresses (Care Compare)

205 Kenmore Ave
Tonawanda, NY 14223-3017
Phone (716) 262-3099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
387576NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wny Occupational Therapy Services PLLC Occupational Therapist CurrentSince Oct 18, 2021 Accepting new patients

Locations

205 Kenmore Ave
Tonawanda, NY 14223
Phone (716) 262-3099

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": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1962913905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8637 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217501",
            "telephone_number": "716-634-1578",
            "fax_number": "716-634-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8637 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217501",
            "telephone_number": "716-634-1578",
            "fax_number": "716-634-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJTAS",
        "first_name": "PHILIP",
        "middle_name": "JOHN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "387576",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 17, 2017; 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.