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

Nicholas Michael Smith, DPT, ATC

Individual provider Athletic Trainer · NPI 1093056103

Nicholas Michael Smith, DPT, ATC is a Physical Therapist in Private Practice in West Seneca, New York. Qualified in 2012, 14 years ago. Practices with Western New York Fitness Rehabilitation PT PLLC, a 10-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2013
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

425 Meyer Rd
West Seneca, NY 14224-1954
Phone: (716) 677-4022
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 035839 (NY)
Athletic Trainer Taxonomy 2255A2300X · Licence 0011807 (NY)
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence 035839 (NY)

Record details

NPI number1093056103
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , ATC
Sole proprietorYes
NPI enumeratedMarch 14, 2013
Last updated in NPPESFebruary 7, 2024
Certification dateFebruary 7, 2024
Mailing address425 Meyer Rd, West Seneca, NY 14224-1954

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Western New York Fitness Rehabilitation Pt Pllc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount