Provider Demographics
NPI:1255967907
Name:RESULTS PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:RESULTS PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PT, DPT
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:UBILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-210-3103
Mailing Address - Street 1:6101 ROBINSON RD
Mailing Address - Street 2:SOUTH SUITE
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-8920
Mailing Address - Country:US
Mailing Address - Phone:716-210-3103
Mailing Address - Fax:716-210-3103
Practice Address - Street 1:6101 ROBINSON RD
Practice Address - Street 2:SOUTH SUITE
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-8920
Practice Address - Country:US
Practice Address - Phone:716-210-3103
Practice Address - Fax:716-210-3103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-13
Last Update Date:2024-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
3590202OtherINDEPENDENT HEALTH COMPANY ID
NY06483352Medicaid
NY06011834Medicaid