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General NPI Number Information
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NPI Number | 1922985118
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Entity Type | Organization
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Legal Business Name | STATERA PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 5 LIMESTONE DR STE B
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-7178
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Country | US
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Telephone | 716-320-0560
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Fax |
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Provider Business Mailing Address
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Address Line | 6420 BRIDLEWOOD DR S
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City | EAST AMHERST
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State | NY
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Zip | 14051-2028
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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 | OWNER
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Name | MEGHAN OKONIEWSKI HAUS
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Credential | DPT
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Telephone | 518-533-8297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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