National Provider Identifier

Matthew Smith, PT, DPT

Matthew Smith, PT, DPT is listed in the NPPES registry with a primary specialty of Pediatric Physical Therapist in Buffalo, NY and a listed phone number of (716) 874-6175.

NPI 1619492550Buffalo, NYPediatric Physical Therapist

Profile Overview

NPI
1619492550
Provider Type
Individual
Primary Specialty
Pediatric Physical Therapist
Enumeration Date
August 11, 2017
Last Updated
August 21, 2017

Practice Location

  • 3767 Delaware Ave
  • Buffalo, NY 14217-1040

Phone: (716) 874-6175

Mailing Address

  • 59 Colonial Ave
  • Buffalo, NY 14217-1103

Specialties

  • Pediatric Physical Therapist (2251P0200X)
Full Record
NPI
1619492550
Entity Type
Individual
Last Name
Smith
First Name
Matthew
Name Prefix
Dr.
Credential
PT, DPT
Mailing Street Address
59 Colonial Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14217-1103
Mailing Country
US
Practice Street Address
3767 Delaware Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14217-1040
Practice Country
US
Practice Phone
(716) 874-6175
Enumeration Date
August 11, 2017
Last Updated
August 21, 2017
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Physical Therapist (2251P0200X)