Ethos Performance Physical Therapy Pllc

Ethos Performance Physical Therapy Pllc is a healthcare organization registered as Physical Therapy Clinic/Center in Buffalo, NY, holding Type 2 (organization) NPI 1790539872 since 2024. The authorized official on file is Matthew Veronica, Member.

✓ Active NPI ✓ Valid NPI checksum

NPI	1790539872
Entity type	Organization (Type 2)
Legal business name	Ethos Performance Physical Therapy Pllc
Practice address	2205 KENMORE AVE STE 108, Buffalo, NY, 14207
Phone	7162488279
Enumeration date	2024-04-15
Last updated in NPPES	2024-04-15

Authorized official

Name	Matthew Veronica
Title	Member
Phone	7162488279

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QP2000X	Physical Therapy Clinic/Center	Primary	—	—

Copy-ready billing details

Provider: Ethos Performance Physical Therapy Pllc
NPI: 1790539872
Taxonomy: 261QP2000X (Physical Therapy Clinic/Center)
Address: 2205 KENMORE AVE STE 108, Buffalo, NY, 14207

Providers at this address

NPI	Name	Type	Specialty	Location
1679230395	Ethos Performance Rehab LLC	Organization	Physical Therapist	Buffalo, NY

Verify this record

Cross-check NPI 1790539872 against the authoritative CMS record: view Ethos Performance Physical Therapy Pllc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Ethos Performance Physical Therapy Pllc located?

The practice location on file with NPPES is in Buffalo, NY.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-04-15. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-04-15.