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General NPI Number Information
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NPI Number | 1760999668
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Entity Type | Organization
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Legal Business Name | ORCHARD PARK PROGRESSIVE PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 01/02/2018
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 1086B UNION RD
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City | WEST SENECA
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State | NY
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Zip | 14224-3449
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Country | US
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Telephone | 716-608-6730
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Fax | 716-608-6445
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Provider Business Mailing Address
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Address Line | 1086B UNION RD
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City | WEST SENECA
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State | NY
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Zip | 14224-3449
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PT/OWNER
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Name | PHILIP MANISCALCO
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Credential | PT
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Telephone | 716-830-4186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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