Provider Demographics
NPI:1609533165
Name:COURTNEY PERFORMANCE PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:COURTNEY PERFORMANCE PHYSICAL THERAPY PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEC
Authorized Official - Middle Name:
Authorized Official - Last Name:COURTNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:716-912-3756
Mailing Address - Street 1:107 WOODMERE DR
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14150-5568
Mailing Address - Country:US
Mailing Address - Phone:716-912-3756
Mailing Address - Fax:716-322-3275
Practice Address - Street 1:4804 N FRENCH RD
Practice Address - Street 2:
Practice Address - City:EAST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14051-2178
Practice Address - Country:US
Practice Address - Phone:716-906-8877
Practice Address - Fax:716-322-3275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-19
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty