Kieran J Traynor PT PC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

17658 Issued in NY

Legal business name

KIERAN J TRAYNOR PT PC

Practice address

1420 Boston Post Rd
Larchmont, NY 10538-3922

Phone

(914) 834-5490

Fax

(914) 834-5402

NPI assigned

Jun 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kieran Joseph Traynor, DPT OCS MTCNPI 1811949316

Title

Owner

Phone

(914) 834-5490

Specialties & licenses 1

Addresses

Other names 1

• Summit Sports & Spinal Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Kieran J Traynor PT PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Summit Sports & Spinal Physical Therapy

  • Physical Therapy Clinic/Center
  • Larchmont, NY
  • NPI 1659322964
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kieran Joseph Traynor, PT, MS

  • Physical Therapist
  • Larchmont, NY
  • NPI 1811949316
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1346409372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 BOSTON POST RD",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383922",
            "telephone_number": "914-834-5490",
            "fax_number": "914-834-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 BOSTON POST RD",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383922",
            "telephone_number": "914-834-5490",
            "fax_number": "914-834-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIERAN J TRAYNOR PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "TRAYNOR",
        "authorized_official_first_name": "KIERAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-834-5490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT OCS MTC"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "17658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Sports & Spinal Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nadine E Kane, MSW, LCSW
• Nancy Karagis, PSY.D.
• Kathy Aligene, M.D. , PLLC
• Susan Eienstein Kerz, MA
• Amy Kessler, LCSW
• Yuna Kim
• Rebecca King, PSY.D.
• Tobi Beth Klar, MD
• Jeffrey Ken Klein, LCSW
• Stephanie Klein, MD

• Orthopedic Physical Therapist in Larchmont, NY
• Providers in Larchmont, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.