D'Youville College
NPI 1053086066ActiveOrganization· Physical Therapist· Buffalo, NY
Physical Therapist in Buffalo, New York, registered in NPPES in August 2021, part of D'Youville College. The authorized official on file is Nathan Marton, Vice President. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1053086066 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | D'Youville College |
| NPI issued | Aug 11, 2021 |
| Last updated in NPPES | Aug 11, 2021 |
| Certified by provider | Aug 11, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Chiropractor | 111N00000X | — | — |
| Dietitian, Registered | 133V00000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (NY) |
|---|
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