William L. Kickham, PT
Individual provider Active NPI Physical Therapist · Castle Point, NY
NPI 1477574291 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1477574291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 006842 (NY)
- Practice address
- Route 9D
Castle Point, NY 12511 - Phone
- (845) 831-2000
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 006842 | NY | Yes |
Addresses
Primary practice location
Route 9D
Castle Point, NY 12511
Mailing address
94 Widmer Rd
Wappingers Falls, NY 12590-3026
Other providers in Castle Point, NY
- Sheri Dawn Harrison
- Shelly R. Hay
- Momo Hlaing
- Ronald Hobler
- Tanveer Hussain
- Hooja C Kim
- Thomas Francis King
- Linda Leslie Larsen
- Young M Lee
- Anne L. Milliken
All providers in Castle Point, 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 Jul 8, 2007. 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.