| Kevin Smith, | |
|
19472 Us Route 11, Watertown, NY 13601-5387 | |
| (315) 782-3941 | |
| (315) 782-8967 |
| Full Name | Kevin Smith |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 12 Years |
| Location | 19472 Us Route 11, Watertown, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295166411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 037040-1 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cani Pt Ot Slp And Psychology Pllc | 0648223875 | 2 |
| Provider Name | Cani Pt Ot Slp & Psychology Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114065174 PECOS PAC ID: 0648223875 Enrollment ID: O20050228000455 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Smith, 3061 State Route 28, Herkimer, NY 13350-1041 Ph: (315) 717-0020 | Kevin Smith, 19472 Us Route 11, Watertown, NY 13601-5387 Ph: (315) 782-3941 |
Mr. Kory Albert Smith, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20104 State Route 3, Watertown, NY 13601 Phone: 315-779-7100 | |
Mrs. Susan Marie Mahoney, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1635 Ohio St, Watertown, NY 13601 Phone: 315-786-7285 | |
Mr. Thomas Andrew Barber, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 53 59 Public Sq, Woodruff Proff Bldg, Watertown, NY 13601 Phone: 315-782-7872 Fax: 315-782-7871 | |
Sarah Hynes Smith, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20104 State Route 3, Watertown, NY 13601 Phone: 315-779-7100 | |
Mrs. Nancy Aten, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21638 Reed Rd, Watertown, NY 13601 Phone: 315-786-0677 | |
Deanna Hirschey, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 Washington St, Watertown, NY 13601 Phone: 315-785-4088 | |
Monika Baerbel Docteur, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 53-59 Public Sq Ste 202, Watertown, NY 13601 Phone: 315-786-3225 Fax: 315-786-3215 |