Healthcare Provider Details

I. General information

NPI: 1649183237
Provider Name (Legal Business Name): STEPHANIE KNIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 TECH DR
AMHERST NY
14221-3900
US

IV. Provider business mailing address

3121 GRAND ISLAND BLVD
GRAND ISLAND NY
14072-1214
US

V. Phone/Fax

Practice location:
  • Phone: 716-276-8641
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number056176
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: