PERFORMANCE SPORTS PHYSICAL THERAPY PC (NPI# 1952375990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952375990 |
| Entity Type | Organization |
| Organization Name | PERFORMANCE SPORTS PHYSICAL THERAPY PC |
| Practice Address |
560 Center Rd West Seneca NY 14224-2157 |
| Practice Telephone | 7166741509 |
| Practice Fax Number | 7166741787 |
| Mailing Telephone | 7166741509 |
| Mailing Fax Number | 7166741787 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2007-10-09 |
| Authorized Official Name | MR. DENNIS LESLIE HORRIGAN (OWNER/PRESIDENT) |
| Authorized Official Telephone | 7166741509 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | UNIVERA | 00011197201 | 01 |
| Street Address |
560 CENTER RD |
| City | WEST SENECA |
| State | NY |
| Zip Code | 14224-2157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265406599 | Dennis Leslie Horrigan | Physical Therapist | 560 Center Rd, West Seneca, NY 14224-2157 | 2006-02-14 |
| 1134545528 | Alyssa Catherine Carducci | Physical Therapist | 560 Center Rd, West Seneca, NY 14224-2157 | 2014-03-11 |
| 1700196623 | West Seneca Physical Therapy, PC | Clinic/Center | 560 Center Rd, West Seneca, NY 14224-2157 | 2010-10-13 |
| 1053577643 | Richard Joseph Wieand | Physical Therapist | 560 Center Rd, West Seneca, NY 14224-2157 | 2008-08-03 |
| 1740468735 | Kristopher Ross Schultz | Physical Therapist | 560 Center Rd, West Seneca, NY 14224-2157 | 2008-02-01 |
| 1093914293 | Christopher Elwyn Koenig | Physical Therapist | 560 Center Rd, West Seneca, NY 14224-2157 | 2007-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528338 | Jaimee Coscia | Behavior Technician | Autism Learning Partners Buffalo, 905a Union Rd #213, West Seneca, NY 14224 | 2020-11-04 |
| 1437711413 | Sara Jean Bucci | Massage Therapist | 4214 Clinton Street, West Seneca, NY 14224 | 2019-07-01 |
| 1679036115 | Darcy Zappia | Behavior Technician | 950a Union Rd #108, West Seneca, NY 14224 | 2019-04-11 |
| 1750858981 | Joelle Susan Wagner | Student in an Organized Health Care Education/Training Program | 767 Main Street, West Seneca, NY 14224 | 2018-10-25 |
| 1629545900 | Victoria A Luongo | Physician Assistant | 189 Fieldcrest Ct., West Seneca, NY 14224 | 2018-10-25 |
| 1659873776 | Lianna Marie Carroll | Physician Assistant | 1026 Union Road, West Seneca, NY 14224 | 2018-03-05 |
| 1124535141 | Joshua Conrad | Registered Nurse | 1010 East and West Road, West Seneca, NY 14224 | 2017-12-30 |
| 1285156232 | Southtowns P.t., Pllc | Physical Therapist | 100 Union Rd., West Seneca, NY 14224 | 2017-07-12 |
| 1164944260 | Patricia Ann Fenzel | Massage Therapist | 1909 Union Road, West Senca, NY 14224 | 2017-07-10 |
| 1356877666 | Megan A Malachowski | Physical Therapy Assistant | 67 Cove Creek Run, Buffalo, NY 14224 | 2017-05-05 |
| Find all providers in zip 14224 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801380365 | Hayley Widmer | Specialist | 369 Leydecker Rd, West Seneca, NY 14224-3704 | 2018-06-19 |
| 1477947299 | Kristin Wisnier | Specialist | 680 Cindy Ln, West Seneca, NY 14224-2430 | 2015-03-19 |
| 1356776405 | Sarah Dziewa | Specialist | 153 Liberty Ln, West Seneca, NY 14224-3739 | 2013-09-09 |
| 1063777803 | Carolyn Haggerty | Specialist | 160 Laurelton Dr, West Seneca, NY 14224-3914 | 2012-07-09 |
| 1255693669 | Lori Jean Southworth | Specialist | 1112 Indian Church Rd, # 27, West Seneca, NY 14224-1330 | 2012-06-12 |
| 1912144650 | Elle Therapeutic Massage | Specialist | 1021 Union Rd, West Seneca, NY 14224-3401 | 2009-01-16 |
| 1366691248 | Melissa Lynn Telecky | Specialist | 58 Briarwood Dr, West Seneca, NY 14224-1904 | 2008-09-16 |
| 1699921049 | Karen Galluch | Specialist | 126 Lexington Grn, West Seneca, NY 14224-1059 | 2008-08-15 |
| 1356514285 | Sudhakar Perala Rao | Specialist | 725 Orchard Park Rd Ste F, West Seneca, NY 14224-3352 | 2008-04-11 |
| 1083884142 | Lgr Imaging, PC | Specialist | 4154 Seneca Street, West Seneca, NY 14224-3053 | 2008-03-05 |
| Find all providers in WEST SENECA | ||||
| City | WEST SENECA |
| Zip Code | 14224 |
Please comment or provide details below to improve the information on PERFORMANCE SPORTS PHYSICAL THERAPY PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.