Mr Kyle Christopher Evans, DPT | |
5823 Widewaters Pkwy Ste 3, East Syracuse, NY 13057-3081 | |
(315) 418-4000 | |
Not Available |
Full Name | Mr Kyle Christopher Evans |
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Gender | Male |
Speciality | Physical Therapist |
Location | 5823 Widewaters Pkwy Ste 3, East Syracuse, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1699140509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | 039037 (New York) | Primary |
Provider Name | Coxsackie Physical Therapy Associates, Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1316071582 PECOS PAC ID: 4789579509 Enrollment ID: O20040219000393 |
Mailing Address | Practice Location Address |
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Mr Kyle Christopher Evans, DPT Po Box 580, Syracuse, NY 13214-0580 Ph: (315) 418-4025 | Mr Kyle Christopher Evans, DPT 5823 Widewaters Pkwy Ste 3, East Syracuse, NY 13057-3081 Ph: (315) 418-4000 |
Ms. Katherine Mary Lyons, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6711 Towpath Rd Ste 100, East Syracuse, NY 13057 Phone: 315-637-4747 Fax: 315-637-6711 | |
Nicholas Joseph Munro, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6620 Fly Rd Ste 102, East Syracuse, NY 13057 Phone: 315-399-4770 Fax: 315-399-4771 | |
Mrs. Sue Ann Kayne, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6296 Fly Rd, East Syracuse, NY 13057 Phone: 315-701-5710 Fax: 315-701-5711 | |
Christopher T Hall, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 314 E 1st St, East Syracuse, NY 13057 Phone: 315-443-9884 Fax: 315-410-5554 | |
Marissa Mcnamara, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5823 Widewaters Pkwy Ste 3, East Syracuse, NY 13057 Phone: 315-418-4000 Fax: 315-446-4248 | |
Emily Valentino, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6723 Towpath Rd, East Syracuse, NY 13057 Phone: 315-425-1004 | |
Connor Delaney, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5823 Widewaters Pkwy, East Syracuse, NY 13057 Phone: 315-418-4013 Fax: 315-478-0388 |