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

Alyssa Gardner

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1013642081

Alyssa Gardner is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Kenmore, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

40 Goodyear Rd
Kenmore, NY 14217-1421
Phone: (716) 803-0115
Show map & directions

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

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 2081S0010X (NY)

Record details

NPI number1013642081
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 22, 2022
Last updated in NPPESJuly 22, 2022
Certification dateJuly 12, 2022