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

Matthew Profeta, PT

Individual provider Physical Therapist · NPI 1720476245

Matthew Profeta, PT is a Physical Therapist in Private Practice in Kenmore, New York. Qualified in 2014, 12 years ago. Practices with Buffalo Rehab Group Physical Therapy and Occupational Therapy PC, a 80-clinician group and accepts Medicare assignment. Licensed in Maryland, New York, Texas and Virginia.

Years since qualifying
12
Licensed in
MD, NY, TX, VA
In the registry since
2015
Specialties on file
4
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2760 Delaware Ave
Kenmore, NY 14217-2702
Phone: (716) 423-2262
Fax: (716) 423-2263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 033901 (NY)
Physical Therapist Taxonomy 225100000X · Licence 1253180 (TX)
Physical Therapist Taxonomy 225100000X · Licence 25221 (MD)
Physical Therapist Taxonomy 225100000X · Licence 2305209005 (VA)

Record details

NPI number1720476245
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 6, 2015
Last updated in NPPESApril 14, 2021
Certification dateApril 14, 2021
Mailing addressBox 8000 Dept 314, Buffalo, NY 14267-0002

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 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

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