THOMAS D POLISOTO (NPI# 1891769436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891769436 |
| Entity Type | Individual |
| Full Name | THOMAS D POLISOTO |
| Credential | MD |
| Practice Address |
550 Orchard Park Rd Building C West Seneca NY 14224-2646 |
| Mailing Address |
338 Harris Hill Rd Suite 207 Buffalo NY 14221-7470 |
| Practice Telephone | 7165585153 |
| Mailing Telephone | 7166344798 |
| Mailing Fax Number | 7166340987 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2012-01-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0004X |
Physical Medicine & Rehabilitation Specialization: Spinal Cord Injury Medicine |
174476-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01074657 | 05 |
| Street Address |
550 ORCHARD PARK RD BUILDING C |
| City | WEST SENECA |
| State | NY |
| Zip Code | 14224-2646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538169875 | Timothy R Rasmusson | Surgery | 550 Orchard Park Rd, A103, West Seneca, NY 14224-2646 | 2005-07-28 |
| 1497259584 | Kara Jean Colburn | Registered Nurse | 550 Orchard Park Rd, West Seneca, NY 14224-2646 | 2018-03-22 |
| 1700388394 | Richard Duderwick | Physical Therapist | 550 Orchard Park Rd, West Seneca, NY 14224-2646 | 2018-02-28 |
| 1396252029 | Kayla Susan Limardi | Registered Nurse | 550 Orchard Park Rd, West Seneca, NY 14224-2646 | 2018-01-03 |
| 1023529849 | Rachel M Kistner | Physician Assistant | 550 Orchard Park Rd, Suite A105, West Seneca, NY 14224 | 2017-10-19 |
| 1588108765 | Courtney Moran | Nurse Practitioner | 550 Orchard Park Rd, A103, West Seneca, NY 14224-2646 | 2016-12-07 |
| 1346797354 | Dr.mark S. St.marie Physician Pllc | Preferred Provider Organization | 550 Orchard Park Rd, Building A Suite 104, West Seneca, NY 14224-2646 | 2016-09-07 |
| 1437531696 | Anne Marie Nikirk | Physician Assistant | 550 Orchard Park Rd, Suite A105, West Seneca, NY 14224 | 2015-06-24 |
| 1174934319 | Kara Trippi | Speech-Language Pathologist | 550 Orchard Park Rd, West Seneca, NY 14224-2646 | 2014-05-09 |
| 1790107399 | Ronald Schenk | Physical Therapist | 550 Orchard Park Rd, West Seneca, NY 14224-2646 | 2014-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528338 | Jaimee Coscia | Behavior Technician | Autism Learning Partners Buffalo, 905a Union Rd #213, West Seneca, NY 14224 | 2020-11-04 |
| 1437711413 | Sara Jean Bucci | Massage Therapist | 4214 Clinton Street, West Seneca, NY 14224 | 2019-07-01 |
| 1679036115 | Darcy Zappia | Behavior Technician | 950a Union Rd #108, West Seneca, NY 14224 | 2019-04-11 |
| 1750858981 | Joelle Susan Wagner | Student in an Organized Health Care Education/Training Program | 767 Main Street, West Seneca, NY 14224 | 2018-10-25 |
| 1629545900 | Victoria A Luongo | Physician Assistant | 189 Fieldcrest Ct., West Seneca, NY 14224 | 2018-10-25 |
| 1659873776 | Lianna Marie Carroll | Physician Assistant | 1026 Union Road, West Seneca, NY 14224 | 2018-03-05 |
| 1124535141 | Joshua Conrad | Registered Nurse | 1010 East and West Road, West Seneca, NY 14224 | 2017-12-30 |
| 1285156232 | Southtowns P.t., Pllc | Physical Therapist | 100 Union Rd., West Seneca, NY 14224 | 2017-07-12 |
| 1164944260 | Patricia Ann Fenzel | Massage Therapist | 1909 Union Road, West Senca, NY 14224 | 2017-07-10 |
| 1356877666 | Megan A Malachowski | Physical Therapy Assistant | 67 Cove Creek Run, Buffalo, NY 14224 | 2017-05-05 |
| Find all providers in zip 14224 | ||||
| Taxonomy Code | 2081P0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Spinal Cord Injury Medicine |
| A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. ACGME Accredited Residency Program Requirements: 1 year of training with 3-5 years in relevant specialty for a total of 4-6 years. ABMS Approved Subspecialty Certificate: (Physical Medicine and Rehabilitation) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871846683 | Integrated Pain and Rehabilitation Solutions, Pllc | Physical Medicine & Rehabilitation | 29 Sycamore Ln, Commack, NY 11725-2329 | 2012-10-17 |
| 1912221680 | Pappas Physical Medicine & Rehabilitation, Pllc | Physical Medicine & Rehabilitation | 3135 31st St, Astoria, NY 11106-2530 | 2010-03-24 |
| 1477589471 | Tahir M Qazi | Physical Medicine & Rehabilitation | 80 Mead St, North Tonawanda, NY 14120-4435 | 2006-06-23 |
| 1063455202 | Jaishree Capoor | Physical Medicine & Rehabilitation | 94-25 59th Avenue, Unit F7, Elmhurst, NY 11373 | 2006-06-14 |
| 1477505667 | Bojun Chen | Physical Medicine & Rehabilitation | 13237 41st Rd, Room 103, Flushing, NY 11355-4242 | 2006-05-16 |
| 1770580862 | Inocencia Carrano | Physical Medicine & Rehabilitation | 60 Dunning Rd, Middletown, NY 10940-2215 | 2005-07-05 |
| 1508288234 | Tarrytown Medical Injury Care Pllc | Physical Medicine & Rehabilitation | 102 S Broadway, Tarrytown, NY 10591-4006 | 2014-01-15 |
| 1437319001 | Vincent Huang | Physical Medicine & Rehabilitation | 77 Jackson Ave, Scarsdale, NY 10583-3140 | 2008-06-16 |
| 1588824544 | Sharmatie Lal | Physical Medicine & Rehabilitation | 301 E Main St, Bay Shore, NY 11706-8408 | 2008-06-12 |
| 1295994531 | Lisa Marie Ruppert | Physical Medicine & Rehabilitation | 515 Madison Ave, 5th Floor, New York, NY 10022-5403 | 2008-06-02 |
| Find all providers with the same taxonomy | ||||
| City | WEST SENECA |
| Zip Code | 14224 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.