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

Michael Mammoser

Individual provider Physical Therapist · NPI 1881324127

Michael Mammoser is a Physical Therapist in Private Practice in Orchard Park, New York. Qualified in 2022, 4 years ago. Practices with University Orthopaedic Services Inc, a 114-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York, Ohio and Virginia.

Years since qualifying
4
Licensed in
NY, OH, VA
In the registry since
2022
Specialties on file
5
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Practice location Address checks out

5959 Big Tree Rd Ste 108
Orchard Park, NY 14127-2291
Phone: (716) 204-3200
Fax: (716) 204-4337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 417 Hill Rd N, Pickerington, OH 43147-1310 — (614) 587-7201

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 051204 (NY)
Physical Therapist Taxonomy 225100000X (VA)
Physical Therapist Taxonomy 225100000X · Licence 2305215120 (VA)
Physical Therapist Taxonomy 225100000X
Physical Therapist Taxonomy 225100000X · Licence PT019942 (OH)

Record details

NPI number1881324127
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 10, 2022
Last updated in NPPESAugust 25, 2023
Certification dateAugust 25, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice University Orthopaedic Services Inc. — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Orchard Park