SHELLY KRAETZ (NPI# 1730463134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730463134 |
| Entity Type | Organization |
| Organization Name | SHELLY KRAETZ |
| Other Organization Name | FYZICAL THERAPY & BALANCE CENTERS |
| Practice Address |
810 W Genesee Street Rd Skaneateles NY 13152 |
| Mailing Address |
Po Box 611 Skaneateles NY 13152-0611 |
| Practice Telephone | 3152917042 |
| Practice Fax Number | 3152917048 |
| Mailing Telephone | 3152917042 |
| Mailing Fax Number | 3152917048 |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2019-08-29 |
| Authorized Official Name | DR. SHELLY G KRAETZ (PHYSICAL THERAPIST / OWNER) |
| Authorized Official Telephone | 3152917042 |
| Authorized Official Credential | PDT, CLT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
029599-1 | NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| FYZICAL Therapy & Balance Centers | Doing Business As Name - Organization |
| Kraetz Physical Therapy | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5639 W Genesee St, Camillus, NY 130311250 | 3155657060 | |
| 796 W Genesee Street Rd, Skaneateles, NY 131529311 | 3152917042 | 3152917048 |
| Street Address |
810 W GENESEE STREET RD |
| City | SKANEATELES |
| State | NY |
| Zip Code | 13152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619169455 | Shelly G Kraetz | Physical Therapist | 810 W Genesee Street Rd, Skaneateles, NY 13152 | 2007-08-15 |
| 1942820279 | Katherine Bishop Pitman | Physical Therapist | 810 W Genesee Street Rd, Skaneateles, NY 13152-9311 | 2020-04-16 |
| 1912546094 | Alison Horn | Physical Therapist | 810 W Genesee Street Rd, Skaneateles, NY 13152-9311 | 2020-01-06 |
| 1821637901 | Alexander Monett Barrow | Physical Therapist | 810 W Genesee Street Rd, Skaneateles, NY 13152-9311 | 2020-01-06 |
| 1982169553 | Morgan Lin Montgomery | Physical Medicine & Rehabilitation | 810 W Genesee Street Rd, Skaneateles, NY 13152-9311 | 2019-02-07 |
| 1467991802 | Kraetz Holdings LLC | Clinic/Center | 810 W Genesee Street Rd, Skaneateles, NY 13152-9311 | 2017-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003454281 | Taylor Allen Flanick | Chiropractor | 1382 Genesee Street, Skaneateles, NY 13152 | 2019-12-18 |
| 1639660277 | Saint Andrews Neuroscience(medical Neuropsychiatry)llc | Social Worker | 7 Fennell St Lowr Level, Skaneateles, NY 13152 | 2018-05-18 |
| 1255733952 | Caroline Moriarty | Psychologist | 1551 East Genesee St, Skaneateles, NY 13152 | 2014-09-24 |
| 1538596515 | George Ethan Randall | Obstetrics & Gynecology | 1810 Tamarack Trl, Skaneateles, NY 13152 | 2013-10-04 |
| 1275969040 | Kelly Elizabeth Springer | Dietitian, Registered | 6 Hannum Street, Skaneateles, NY 13152 | 2013-09-24 |
| 1053588673 | James B Carranti | Mechanotherapist | 1416 East Genesee Street, Skaneateles, NY 13152 | 2008-05-13 |
| 1063607984 | Linda R. Rossi | Registered Nurse | 1551 E Genesee St, Skaneateles, NY 13152 | 2007-09-13 |
| 1356550115 | Kate Van Ingen Kelsen | Marriage & Family Therapist | 1416 E. Genesee St., Skaneateles, NY 13152 | 2007-05-21 |
| 1841350113 | Audrey Hope Van Voolen | Psychologist | 3460 Country Line Road, Skaneateles, NY 13152 | 2006-12-09 |
| 1558437475 | Christopher A Stahl | Chiropractor | 1416 E Genesee St, Skaneateles, NY 13152 | 2006-11-24 |
| Find all providers in zip 13152 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962862581 | Skiff Physical Therapy, Pllc | Clinic/Center | 657 W Genesee Street Rd, Skaneateles, NY 13152-9363 | 2016-02-24 |
| 1467991802 | Kraetz Holdings LLC | Clinic/Center | 810 W Genesee Street Rd, Skaneateles, NY 13152-9311 | 2017-02-17 |
| 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 | SKANEATELES |
| Zip Code | 13152 |
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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.