National Provider Identifier

Kevin Matthew Scibetta, DPT

Kevin Matthew Scibetta, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Clarence, NY and a listed phone number of (716) 839-1550.

NPI 1821516451Clarence, NYPhysical Therapist

Profile Overview

NPI
1821516451
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
September 04, 2017
Last Updated
October 11, 2021

Practice Location

  • 9095 Main St Suite B
  • Clarence, NY 14031

Phone: (716) 839-1550

Mailing Address

  • 360 Campus Drive Apt #1
  • Amherst, NY 14226

Specialties

  • Physical Therapist (225100000X)
  • Physical Therapist (225100000X)
Full Record
NPI
1821516451
Entity Type
Individual
Last Name
Scibetta
First Name
Kevin
Middle Name
Matthew
Credential
DPT
Mailing Street Address
360 Campus Drive Apt #1
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226
Mailing Country
US
Mailing Phone
(716) 936-2153
Practice Street Address
9095 Main St Suite B
Practice City
Clarence
Practice State
NY
Practice ZIP Code
14031
Practice Country
US
Practice Phone
(716) 839-1550
Enumeration Date
September 04, 2017
Last Updated
October 11, 2021
Sex
Male
Sole Proprietor
No
Certification Date
October 11, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X), Physical Therapist (225100000X)