FREDONIA PHYSICAL THERAPY, PLLC
NPI 1235230343
Physical Therapist in Fredonia, NY

Active since September 25, 2006
12 BRIGHAM RD, FREDONIA, NY 14063(716) 679-7447(716) 679-7446 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fredonia Physical Therapy, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDONIA PHYSICAL THERAPY, PLLC (NPI 1235230343) is a healthcare organization registered as a physical therapist in Fredonia, New York and active in the NPI registry since September 2006. The organization lists Randall A Vincek, Owner, as its authorized official.

NPPES Registry Identity

NPI1235230343
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameFREDONIA PHYSICAL THERAPY, PLLC
Location Address12 BRIGHAM RDFredonia, NY 14063-1000
Mailing Address12 Brigham RdFredonia, NY 14063-1000 · (716) 679-7447 · Fax (716) 679-7446
Fax(716) 679-7446
Organization SubpartNo
Authorized OfficialRandall A VincekOwner · (716) 679-7447
Enumeration DateSeptember 25, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1235230343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NY · 01365-01
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
12 BRIGHAM RD, Fredonia, NY 14063

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fredonia Physical Therapy, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Fredonia Physical Therapy, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Physical Therapist in Private Practice
NPI 1700604741
12 BRIGHAM RD
Fredonia, NY 14063
(716) 679-7447
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1538118187
12 BRIGHAM RD
Fredonia, NY 14063
(716) 679-7447
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1427007178
12 BRIGHAM RD
Fredonia, NY 14063
(716) 679-7447
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1700216702
207 FOOTE AVEUNE
Jamestown, NY 14701
(716) 664-8278
✔ Accepts Medicare26 mi
Physical Therapist in Private Practice
NPI 1174341374
5959 BIG TREE RD STE 108
Orchard Park, NY 14127
(716) 204-3200
✔ Accepts Medicare37 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fredonia Physical Therapy, PLLC's NPI number?

The NPI number for Fredonia Physical Therapy, PLLC is 1235230343. It was assigned to this organization in the NPPES registry on September 25, 2006.

Where is Fredonia Physical Therapy, PLLC located?

Fredonia Physical Therapy, PLLC is located at 12 Brigham Rd, Fredonia, NY 14063. The listed phone number is (716) 679-7447.

What is Fredonia Physical Therapy, PLLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Fredonia Physical Therapy, PLLC enrolled in Medicare?

Yes. Fredonia Physical Therapy, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fredonia Physical Therapy, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Fredonia Physical Therapy, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fredonia Physical Therapy, PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.