Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ethos Performance Rehab LLC

Organization Physical Therapist · NPI 1679230395

Ethos Performance Rehab LLC is a Physical Therapist in Buffalo, New York. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2205 Kenmore Ave Ste 108
Buffalo, NY 14207-1329
Phone: (716) 472-6267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1051 Lincoln Ave, Lockport, NY 14094-6142 — (716) 472-6267

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1679230395
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Veronica — Owner · (716) 472-6267
NPI enumeratedNovember 18, 2021
Last updated in NPPESNovember 18, 2021
Certification dateNovember 17, 2021
Mailing address2205 Kenmore Ave Ste 108, Buffalo, NY 14207-1329

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