Kevin James Brown (NPI# 1194139717, PAC ID# 0749401818) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1194139717 |
| PAC ID by PECOS | 0749401818 |
| Professional Enrollment ID | I20141015001377 |
| Full Name | Kevin James Brown |
| Organization Legal Name | SPORTS PHYSICAL THERAPY OF NEW YORK, P.C. |
| Address |
6319 Fly Rd Suite 3 East Syracuse NY 13057-4900 |
| Phone Number | 3154106200 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4284531674 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6319 Fly Rd, Suite 3, East Syracuse, NY 13057-4900 | 3154106200 | SPORTS PHYSICAL THERAPY OF NEW YORK, P.C. |
| 7455 Morgan Rd, Suite 2, Liverpool, NY 13090-3956 | 3154516767 | SPORTS PHYSICAL THERAPY OF NEW YORK, P.C. |
| Organization Legal Name | SPORTS PHYSICAL THERAPY OF NEW YORK, P.C. |
| Physicians | 47 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julian Paul Bermingham | Physical Therapy | Sports Physical Therapy of New York, P.C. | 2540 Sheridan Dr, Tonawanda, NY 14150-9410 |
| Kieran Mccoy | Physical Therapy | Sports Physical Therapy of New York, P.C. | 4102 Ellsworth Blvd, Malta, NY 12020 |
| Drew Simoneau | Physical Therapy | Sports Physical Therapy of New York, P.C. | 5320 W Genesee St, Suite 2, Camillus, NY 13031-2279 |
| Cody Kelly | Physical Therapy | Sports Physical Therapy of New York, P.C. | 7455 Morgan Rd, Suite 2, Liverpool, NY 13090-3956 |
| Christopher Michael Ruffino | Physical Therapy | Sports Physical Therapy of New York, P.C. | 285 Delaware Ave, Buffalo, NY 14202-1885 |
| Kimberly A Attwood | Physical Therapy | Sports Physical Therapy of New York, P.C. | 3376 Niagara Falls Blvd, Suite 4, North Tonawanda, NY 14120-1396 |
| Sheila Burth | Physical Therapy | Sports Physical Therapy of New York, P.C. | 140 W Seneca St, Manlius, NY 13104-2420 |
| Timothy Abel | Physical Therapy | Sports Physical Therapy of New York, P.C. | 803 Ridge Rd A, Webster, NY 14580-2489 |
| Jennifer Szymanski | Physical Therapy | Sports Physical Therapy of New York, P.C. | 803 Ridge Rd, Suite A, Webster, NY 14580-2489 |
| Christopher J Nentarz | Physical Therapy | Sports Physical Therapy of New York, P.C. | 9570 Transit Rd, Suite 300, East Amherst, NY 14051-1188 |
| Street Address |
6319 FLY RD SUITE 3 |
| City | EAST SYRACUSE |
| State | NY |
| Zip | 13057-4900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad M Lachance | Physical Therapy | Sports Physical Therapy of New York, P.C. | 6319 Fly Rd, Suite 3, East Syracuse, NY 13057-4900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Desta R Anthony | Nurse Practitioner | Loretto Rest Realty Corporation | 115 Creek Cir, East Syracuse, NY 13057-1369 |
| Douglas Berkley Tucker | Internal Medicine | Loretto Rest Realty Corporation | 115 Creek Cir, East Syracuse, NY 13057-1369 |
| Miles R Wiltse | Chiropractic | 6449 Kirkville Rd, East Syracuse, NY 13057-1600 | |
| David M Girardi | Optometry | 824 Franklin Park Dr, East Syracuse, NY 13057-1614 | |
| Mark Antosh | Obstetrics/gynecology | 824 Franklin Park Dr, East Syracuse, NY 13057-1642 | |
| Bruce J Jones | Clinical Social Worker | 160 Watertree Dr, E Syracuse, NY 13057-1921 | |
| Richard B Dixon | Chiropractic | 405 Kinne St, East Syracuse, NY 13057-2019 | |
| David Porter | Nurse Practitioner | St Josephs Hospital Health Center | 302 Upton St, East Syracuse, NY 13057-2308 |
| Ryan L D Amico | Podiatry | Ryan Damico Dpm Pllc | 7075 Manlius Ctr Rd, East Syracuse, NY 13057-2607 |
| Kathleen M Pyatak-hugar | Podiatry | Ryan Damico Dpm Pllc | 7075 Manlius Ctr Rd, East Syracuse, NY 13057-2607 |
| Find all physicians in zip 13057 | |||
| City | EAST SYRACUSE |
| Zip Code | 13057 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | EAST SYRACUSE + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.