Individual provider Active NPI

Katherine Myers, PT

  • Physical Therapist
  • Hamburg, NY
National Provider Identifier
1972946721
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
035747 Issued in NY
Practice address
60 Main St Ste 1
Hamburg, NY 14075-4905
Phone
(716) 649-1618
Fax
(716) 649-0916
NPI assigned
Apr 11, 2013
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P14032 NC
Physical Therapist 225100000X 035747 NY Primary

Addresses

Primary practice location

60 Main St Ste 1
Hamburg, NY 14075-4905

Mailing address

Box 8000 Dept 314
Buffalo, NY 14267-0002
Phone (716) 213-0772

Other identifiers 1

IdentifierTypeStateIssuer
06002051MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200515001205 NY Practitioner - Physical Therapist in Private Practice 2264667567 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sana Physical Therapy, PLLCGroup PAC ID 8628433257, 7 clinicians

Practice addresses (Care Compare)

123 Grey St
Suite 5
East Aurora, NY 14052-2144
Phone (716) 671-7262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P14032NCMDPhysical Therapist
035747NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Physical Therapy of New York, P.C. Physical Therapist CurrentSince Apr 1, 2023 Accepting new patients
Sana Physical Therapy, PLLC Physical Therapist CurrentSince Feb 4, 2024 Accepting new patients

Locations

285 Delaware Ave
Ste 116
Buffalo, NY 14202
Phone (716) 381-8214

123 Grey St
Ste 5
East Aurora, NY 14052
Phone (310) 795-0790

2540 Sheridan Dr
Tonawanda, NY 14150
Phone (716) 862-0567

Organizations & group practices 2

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": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1972946721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 8000 DEPT 314",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142670002",
            "telephone_number": "716-213-0772",
            "fax_number": "716-324-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MAIN ST STE 1",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754905",
            "telephone_number": "716-649-1618",
            "fax_number": "716-649-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "KATHERINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P14032",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06002051",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.