National Provider Identifier

Nicholas Michael Smith, DPT, ATC

Nicholas Michael Smith, DPT, ATC is listed in the NPPES registry with a primary specialty of Physical Therapist in West Seneca, NY and a listed phone number of (716) 677-4022.

NPI 1093056103West Seneca, NYPhysical Therapist

Profile Overview

NPI
1093056103
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
March 14, 2013
Last Updated
February 07, 2024

Practice Location

  • 425 Meyer RD
  • West Seneca, NY 14224-1954

Phone: (716) 677-4022

Specialties

  • Physical Therapist (225100000X)
  • Athletic Trainer (2255A2300X)
  • Physical Therapy Clinic/Center (261QP2000X)
Full Record
NPI
1093056103
Entity Type
Individual
Last Name
Smith
First Name
Nicholas
Middle Name
Michael
Credential
DPT, ATC
Mailing Street Address
425 Meyer RD
Mailing City
West Seneca
Mailing State
NY
Mailing ZIP Code
14224-1954
Mailing Country
US
Mailing Phone
(716) 677-4022
Practice Street Address
425 Meyer RD
Practice City
West Seneca
Practice State
NY
Practice ZIP Code
14224-1954
Practice Country
US
Practice Phone
(716) 677-4022
Enumeration Date
March 14, 2013
Last Updated
February 07, 2024
Sex
Male
Sole Proprietor
Yes
Certification Date
February 07, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X), Athletic Trainer (2255A2300X), Physical Therapy Clinic/Center (261QP2000X)