Provider Demographics
NPI:1609533165
Name:BAR BEND PERFORMANCE PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:BAR BEND PERFORMANCE PHYSICAL THERAPY PLLC
Other - Org Name:BUFFALO PERFORMANCE PHYSIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEC
Authorized Official - Middle Name:
Authorized Official - Last Name:COURTNEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:716-912-3756
Mailing Address - Street 1:7 WENDTWORTH CT
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:NY
Mailing Address - Zip Code:14086-1466
Mailing Address - Country:US
Mailing Address - Phone:716-912-3756
Mailing Address - Fax:
Practice Address - Street 1:4545 TRANSIT RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-6012
Practice Address - Country:US
Practice Address - Phone:716-912-3756
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-19
Last Update Date:2022-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty