Kathy Bruetsch
Individual provider Active NPI Physical Therapy Assistant · Oneonta, NY
NPI 1043663586 · NPPES record last updated Jul 20, 2016
Key facts
- NPI
- 1043663586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 004017-1 (NY)
- Practice address
- 1 Foxcare Dr
Oneonta, NY 13820-2099 - Phone
- (607) 431-5702
- Fax
- (607) 431-5709
- NPI assigned
- Jul 20, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004017-1 | NY | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 004017-1 | NY | Yes |
Addresses
Primary practice location
1 Foxcare Dr
Oneonta, NY 13820-2099
Mailing address
1 Foxcare Drive
Oneonta, NY 13820-2086
Phone (607) 431-5702
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00279098 | Medicaid | NY | |
| 330085 | Other | NY | FACILITY MEDICARE # |
Other providers in Oneonta, NY
- Jacinta Maria Brennan
- Nicole Brew
- Emily Johanna Briggs
- Lia Marta Briggs
- Amy Christine Brown
- Bryan S Evanczyk MD Inc PC
- Michael M Budin
- Buffalo Vamc
- Susan M Burch
- Brian Edward Burgess I
All providers in Oneonta, NY · Physical Therapy Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.