Individual provider Active NPI

Michael Anthony Tirone, PT

  • Physical Therapist
  • Tonawanda, NY
National Provider Identifier
1992776868
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
010195-1 Issued in NY
Practice address
545 Delaware St
Tonawanda, NY 14150-5301
Phone
(716) 694-5385
Fax
(716) 694-5386
NPI assigned
Jan 30, 2006
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 010195-1 NY Primary

Addresses

Primary practice location

545 Delaware St
Tonawanda, NY 14150-5301

Mailing address

6301 Transit Rd
Depew, NY 14043-1051
Phone (716) 684-0400

Other identifiers 1

IdentifierTypeStateIssuer
01980863MedicaidNY

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
10195NYMDAddiction (Substance Use Disorder) Counselor
010195-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopedic Physical Therapy PastSince May 1, 2006 Accepting new patients
Western New York Performance Physical Therapy PLLC Physical Therapist PastSince Mar 24, 2024 Accepting new patients
Western New York Physical and Occupational Therapy Group PLLC Physical Therapist PastSince Jan 1, 1999 Accepting new patients
Western New York PT Group PC Physical Therapist Past Accepting new patients

Organizations & group practices 4

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992776868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140431051",
            "telephone_number": "716-684-0400",
            "fax_number": "716-683-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 DELAWARE ST",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141505301",
            "telephone_number": "716-694-5385",
            "fax_number": "716-694-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRONE",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "010195-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01980863",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonawanda, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.