JOSEPH P GRAVINO PT, DPT, NPI 1952785669 — AMHERST (NY)

NPI 1952785669

4+ Years Experience Individual

JOSEPH P GRAVINO PT, DPT

07/13/2015
PROVIDER ENUMERATION DATE
05.05.2017
LAST UPDATE DATE
1952785669
NPI NUMBER

About JOSEPH P GRAVINO

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

JOSEPH P GRAVINO is a provider established in AMHERST, NY. The NPI number of JOSEPH P GRAVINO is 1952785669 and was assigned on 07/13/2015. The practitioners primary taxonomy code is: 261QP2000X .

Mailing address

  • City: NIAGARA FALLS
  • State: NY
  • Postal code: 143011110
  • Phone: 7162822888
  • Fax: 7162851281
  • Address: 924 MAIN STREET

Primary Practice Address

  • Region : AMHERST, NY
  • NPI : 1952785669
  • Phone : 7165251184
  • Fax : 7162191141
  • Postalcode : 142282329
  • Address : 2360 SWEET HOME RD STE 1-02

Provider taxonomy - Clinic/Center

  • Taxonomy code: 261QP2000X

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Contacts:

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  • JOSEPH P GRAVINO PT, DPT
  • Address : 2360 SWEET HOME RD STE 1-02
  • Region : AMHERST, NY
  • NPI : 1952785669
  • Phone : 7165251184
  • Fax : 7162191141
  • Postalcode : 142282329

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address2360 SWEET HOME RD
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location AddressSTE 1-02
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameAMHERST
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameNY
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code142282329
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number7165251184
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number7162191141
The fax number associated with the location address of the provider being identified.
NPI1952785669
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1261QP2000X
Provider Enumeration Date07/13/2015
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated05.05.2017
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)JOSEPH P GRAVINO
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address924 MAIN STREET
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameNIAGARA FALLS
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameNY
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code143011110
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number7162822888
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number7162851281
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #1261QP2000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Clinic/Center
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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