Individual provider Active NPI

Kirby Janke, DC

  • Physical Therapist
  • Skaneateles, NY
National Provider Identifier
1154400240
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007472 Issued in NY
Practice address
7 Fennell St
Skaneateles, NY 13152-1137
Phone
(315) 685-1655
Fax
(315) 685-1657
NPI assigned
Nov 2, 2006
Last updated
May 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X PT007472 NY
Physical Therapist 225100000X PT007472 NY Primary

Addresses

Primary practice location

7 Fennell St
Skaneateles, NY 13152-1137

Mailing address

1001 W Fayette St
Suite 400
Syracuse, NY 13204-2859
Phone (315) 472-1488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201209000301 FL Practitioner - Physical Therapist in Private Practice 6305743956 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Align Physical Therapy, IncGroup PAC ID 3971976200, 9 clinicians

Practice addresses (Care Compare)

2030 S Patrick Dr
Suite 3
Indian Harbour Beach, FL 32937-4400
Phone (321) 622-5707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7472NYMDPsychologist
PT007472NYMDChiropractor
007472NYMDOptometrist
007123NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Align Physical Therapy, Inc. Physical Therapist CurrentSince Jan 10, 2024 Accepting new patients
On Site Physical Therapy LLC Physical Therapist CurrentSince Jan 8, 2024 Accepting new patients
F.I.T. PT, LLC Physical Therapist CurrentSince Nov 20, 2020 Accepting new patients
Delray Care Physical Therapy LLC Physical Therapist CurrentSince Feb 1, 2022 Accepting new patients
D W Halliday MD PHD PLLC PastSince Sep 15, 2019 Accepting new patients
Care & Rehabilitation LLC Physical Therapist PastSince Feb 1, 2022 Accepting new patients

Locations

950 Peninsula Corporate Cir
Ste 3004
Boca Raton, FL 33487
Phone (561) 501-1983

2645 N Federal Hwy
Ste 240
Delray Beach, FL 33483
Phone (561) 562-8561

2030 South Patrick Dr
Ste 3
Indian Harbour Beach, FL 32937
Phone (321) 622-5707

200 Admirals Cove Blvd
Jupiter, FL 33477
Phone (561) 745-5920

521 Lake Ave
Ste 8
Lake Worth, FL 33460
Phone (305) 484-0832

2 Orchid Island Dr
Orchid, FL 32963

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1154400240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W FAYETTE ST",
            "address_2": "SUITE 400",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042859",
            "telephone_number": "315-472-1488",
            "fax_number": "315-476-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 FENNELL ST",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131521137",
            "telephone_number": "315-685-1655",
            "fax_number": "315-685-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANKE",
        "first_name": "KIRBY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "PT007472",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "PT007472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skaneateles, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.