Healthcare Provider Details

I. General information

NPI: 1699859272
Provider Name (Legal Business Name): JENNIFER A KATZ PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1085 EGGERT RD
BUFFALO NY
14226-4148
US

IV. Provider business mailing address

95 BELVOIR RD
WILLIAMSVILLE NY
14221-3615
US

V. Phone/Fax

Practice location:
  • Phone: 716-831-8422
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number026345-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: