National Provider Identifier
Audrey M Deplato, PT
Audrey M Deplato, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Williamsville, NY and a listed phone number of (716) 631-3555.
Profile Overview
- NPI
- 1558884494
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- July 24, 2017
- Last Updated
- December 07, 2021
Practice Location
- 400 International Drive
- Williamsville, NY 14221-5771
Phone: (716) 631-3555
Specialties
- Physical Therapist (225100000X)
- Physical Therapist (225100000X)
Full Record
- NPI
- 1558884494
- Entity Type
- Individual
- Last Name
- Deplato
- First Name
- Audrey
- Middle Name
- M
- Name Prefix
- Mrs.
- Credential
- PT
- Provider Other Last Name
- Ogorek
- Provider Other First Name
- Audrey
- Provider Other Middle Name
- M
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- PT
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 400 International Drive
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5771
- Mailing Country
- US
- Mailing Phone
- (716) 631-3555
- Mailing Fax
- (716) 631-9525
- Practice Street Address
- 400 International Drive
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5771
- Practice Country
- US
- Practice Phone
- (716) 631-3555
- Practice Fax
- (716) 631-9525
- Enumeration Date
- July 24, 2017
- Last Updated
- December 07, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 07, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X), Physical Therapist (225100000X)
- Other Identifiers
- 04912474 (NY)