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

Adam Licata

Individual provider Physical Therapist · NPI 1750266615

Adam Licata is a Physical Therapist in Private Practice in Kenmore, New York. Qualified in 2025, 1 year ago. Practices with Buffalo Rehab Group Physical Therapy and Occupational Therapy PC, a 80-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
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Practice location Address checks out

2760 Delaware Ave
Kenmore, NY 14217
Phone: (716) 423-2262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1750266615
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 9, 2025
Last updated in NPPESAugust 9, 2025
Certification dateAugust 7, 2025
Mailing address106 Shepard Avenue, Kenmore, NY 14217

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Buffalo Rehab Group Physical Therapy And Occupational Therapy Pc — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kenmore