1588412233 NPI number — NEXT STEP PT SERVICES OF WNY PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588412233 NPI number — NEXT STEP PT SERVICES OF WNY PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEXT STEP PT SERVICES OF WNY PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588412233
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/29/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 287
Provider Second Line Business Mailing Address:
8410 MAPLEWOOD DRIVE
Provider Business Mailing Address City Name:
GASPORT
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14067-0287
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-266-5252
Provider Business Mailing Address Fax Number:
716-546-2223

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
397 DAVISON RD STE 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOCKPORT
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14094-4005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-280-3009
Provider Business Practice Location Address Fax Number:
716-546-2223
Provider Enumeration Date:
05/08/2024

Additional Information

Authorized Official

Authorized Official Last Name:
GAYGEN
Authorized Official First Name:
KELLY
Authorized Official Middle Name:
SUE
Authorized Official Title or Position:
PRESIDENT/CEO
Authorized Official Telephone Number:
716-266-5252

Provider Taxonomy Codes

  • Taxonomy code: 208100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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