Provider Demographics
NPI:1588412233
Name:NEXT STEP PT SERVICES OF WNY PLLC
Entity type:Organization
Organization Name:NEXT STEP PT SERVICES OF WNY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:GAYGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-266-5252
Mailing Address - Street 1:PO BOX 287
Mailing Address - Street 2:8410 MAPLEWOOD DRIVE
Mailing Address - City:GASPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14067-0287
Mailing Address - Country:US
Mailing Address - Phone:716-266-5252
Mailing Address - Fax:716-546-2223
Practice Address - Street 1:2 MARKET ST STE 518
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-2914
Practice Address - Country:US
Practice Address - Phone:716-280-3009
Practice Address - Fax:716-546-2223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-08
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty