WALDRON PHYSIOTHERAPY, PLLC (NPI# 1053842575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053842575 |
| Entity Type | Organization |
| Organization Name | WALDRON PHYSIOTHERAPY, PLLC |
| Practice Address |
103 Charlies Pl Chittenango NY 13037-1080 |
| Mailing Address |
Po Box 480 Chittenango NY 13037-0480 |
| Practice Telephone | 3155031057 |
| Practice Fax Number | 3154097708 |
| Mailing Telephone | 3155031057 |
| Mailing Fax Number | 3154097708 |
| Enumeration Date | 2017-03-26 |
| Last Update Date | 2017-03-26 |
| Authorized Official Name | DR. KEITH P WALDRON (MANAGER) |
| Authorized Official Telephone | 3155031057 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
021540-1 | NY | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | WALDRON PHYSIOTHERAPY, PLLC | P.o. Box 480, Chittenango, Ny 13037 |
| Street Address |
103 CHARLIES PL |
| City | CHITTENANGO |
| State | NY |
| Zip Code | 13037-1080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821506486 | Randee Ann Mccormick | Licensed Practical Nurse | 112 S. Berkey Drive, Chittenango, NY 13037 | 2018-01-17 |
| 1154877785 | Sean Laubenstein | Physical Therapist | 3198 Route 5 West, Chittenango, NY 13037 | 2016-09-01 |
| 1326411224 | Nicole Mastrangelo | Pharmacist | Kinney Drugs, 540 E. Genesee St., Chittenango, NY 13037 | 2015-11-02 |
| 1861736357 | Bridget A Frio Od | Optometrist | 303 Genesee Street, Chittenango, NY 13037 | 2012-11-21 |
| 1417228933 | Seth Lee Stucker | Military Health Care Provider | 6732 Ramsgate Road, Chittenango, NY 13037 | 2012-01-13 |
| 1376868257 | Meredith Corbett Albert | Physical Therapist | 1398 Route 5 West, Chittenango, NY 13037 | 2010-04-02 |
| 1679709877 | Sylvia B. Brodhead | Registered Nurse | 2277 Osborne Road, Chittenango, NY 13037 | 2009-06-03 |
| 1932279932 | Chittenango Dental | Dentist | 153 West Genesee Street, Chittenango, NY 13037 | 2006-11-08 |
| 1831206010 | Kph Healthcare Services, Inc. | Pharmacy | 540 Genesee St., Chittenango, NY 13037 | 2006-08-24 |
| 1619940756 | Daniel G Kingsley | Physical Therapist | 1398 Route 5 W, Chittenango, NY 13037 | 2006-02-09 |
| Find all providers in zip 13037 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639842 | Lion Physical Therapy Pllc | Clinic/Center | 2420 Jackson Ave Ste 205, Long Island City, NY 11101-4332 | 2020-11-02 |
| 1144820762 | Phoenix Physical Therapy Pllc | Clinic/Center | 337 Blaisdell Rd, Orangeburg, NY 10962-2508 | 2020-11-01 |
| 1174122808 | The Body Workshop Physical Therapy Pllc | Clinic/Center | 70 Balsam Way, Clifton Park, NY 12065-6787 | 2020-10-23 |
| 1013516012 | Laura Alexandra Kelly | Clinic/Center | 599 Knollwood Rd, White Plains, NY 10603-1918 | 2020-10-21 |
| 1982202404 | Mobility Health Physical Therapy | Clinic/Center | 10545 Avenue M, Brooklyn, NY 11236-4603 | 2020-10-16 |
| 1053919589 | Hun K Physical Therapy P.C. | Clinic/Center | 4015 81st St Apt A65, Elmhurst, NY 11373-1343 | 2020-10-16 |
| 1730786369 | Palisades Lymphedema & Oncology Physiotherapy, Rllp | Clinic/Center | 7 New Lake Rd, Valley Cottage, NY 10989-1868 | 2020-10-06 |
| 1831796713 | Quality Movement Restoration, LLC | Clinic/Center | 12027 165th St, Jamaica, NY 11434-2526 | 2020-10-05 |
| 1134726359 | John Lathrop Physical Therapy Pllc | Clinic/Center | 3152 35th St Apt 1r, Astoria, NY 11106-1546 | 2020-10-01 |
| 1720695430 | John Bianchini Pt PC | Clinic/Center | 11 N Nancy Pl, Massapequa, NY 11758-1912 | 2020-09-26 |
| Find all providers with the same taxonomy | ||||
| City | CHITTENANGO |
| Zip Code | 13037 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.