National Provider Identifier
Fitness Sports And Physical Therapy PC
Fitness Sports And Physical Therapy PC is listed in the NPPES registry with a primary specialty of Physical Therapist in Orchard Park, NY and a listed phone number of (716) 662-2949.
Source: public NPPES record, last updated July 07, 2017. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1558322784
- Provider Type
- Organization
- Primary Specialty
- Physical Therapist
- Enumeration Date
- March 29, 2006
- Last Updated
- July 07, 2017
Practice Location
- 4063 N Buffalo St
- Orchard Park, NY 14127-2442
Phone: (716) 662-2949
Authorized Official
- Name
- Mr. Terry John Whieldon
- Title
- President Physical Therapist
- Credentials
- PHYSICAL THERAPIST
- Phone
- (716) 662-2949
Specialties
- Physical Therapist (225100000X)
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See more providers in the Physical Therapist classification in Orchard Park, NY.
Full Record
- NPI
- 1558322784
- Entity Type
- Organization
- Organization Name
- Fitness Sports And Physical Therapy PC
- Mailing Street Address
- 4063 N Buffalo St
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-2442
- Mailing Country
- US
- Mailing Phone
- (716) 662-2949
- Mailing Fax
- (716) 662-3673
- Practice Street Address
- 4063 N Buffalo St
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-2442
- Practice Country
- US
- Practice Phone
- (716) 662-2949
- Practice Fax
- (716) 662-3673
- Enumeration Date
- March 29, 2006
- Last Updated
- July 07, 2017
- Authorized Official Last Name
- Whieldon
- Authorized Official First Name
- Terry
- Authorized Official Middle Name
- John
- Authorized Official Title
- President Physical Therapist
- Authorized Official Phone
- (716) 662-2949
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Mr.
- Authorized Official Credential Text
- PHYSICAL THERAPIST
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Taxonomies
- Physical Therapist (225100000X)
- Other Identifiers
- 006103111 (NY, Blue Cross Blue Shield), 9352186 (NY, Independent Health), 00011189901 (NY, Univex)