Individual provider Active NPI

Mahnoor Khan

  • Physical Therapist
  • West Seneca, NY
National Provider Identifier
1972495257
Registry record updated Jul 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
054185-01 Issued in NY
Practice address
1086B Union Rd
West Seneca, NY 14224-3449
Phone
(716) 608-6730
Fax
(716) 608-6445
NPI assigned
Jul 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2025

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 054185-01 NY Primary

Addresses

Primary practice location

1086B Union Rd
West Seneca, NY 14224-3449

Mailing address

1086B Union Rd
West Seneca, NY 14224-3449
Phone (716) 608-6730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250827001278 NY Practitioner - Physical Medicine and Rehabilitation 9638670276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orchard Park Progressive Physical Therapy PLLCGroup PAC ID 6406116839, 9 clinicians

Practice addresses (Care Compare)

1086 B Union Rd
West Seneca, NY 14224-3449
Phone (716) 608-6730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
054185-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orchard Park Progressive Physical Therapy PLLC Physical Therapist CurrentSince Aug 14, 2025 Accepting new patients

Locations

1086B Union Rd
West Seneca, NY 14224
Phone (716) 300-6699

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752883200000",
    "number": "1972495257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086B UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243449",
            "telephone_number": "716-608-6730",
            "fax_number": "716-608-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086B UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243449",
            "telephone_number": "716-608-6730",
            "fax_number": "716-608-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MAHNOOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-19",
        "last_updated": "2025-07-19",
        "certification_date": "2025-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "054185-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

Verify at the official NPI Registry.