Kelly Maguire, DPT
Individual provider Active NPI Physical Therapist · Colton, NY
NPI 1225317332 · NPPES record last updated Aug 7, 2011
Key facts
- NPI
- 1225317332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 033923 (NY)
- Practice address
- 1540 County Route 58
Colton, NY 13625-4102 - Phone
- (315) 265-8079
- NPI assigned
- Aug 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009412 | CT | MD | Social Worker |
| 033923 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCombs and Associates Physical Therapy, Inc. | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 033923 | NY | Yes |
Addresses
Primary practice location
1540 County Route 58
Colton, NY 13625-4102
Mailing address
1540 County Route 58
Colton, NY 13625-4102
Phone (315) 265-8079
Other providers in Colton, NY
- Pearl Scott Erdner
- Mary Kay Hafer
- Amy Darlene Hughes
- Alicia Jones
- Catherine Anne Klein
- Abeni Elizabeth Payne
- Rachael Elizabeth Richards
- Rebecca Ann Stone
- Suzanne J Tolomeo
All providers in Colton, NY · Physical Therapist 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 Aug 7, 2011. 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.