Nathaniel Orien Haller, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

052072 Issued in NY

Practice address

810 W Genesee Street Rd
Skaneateles, NY 13152-9311

Phone

(315) 291-7042

Fax

(315) 291-7048

NPI assigned

Feb 13, 2024

Last updated

Feb 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kraetz Holdings LLC

  • Physical Therapy Clinic/Center
  • Skaneateles, NY
  • NPI 1467991802

  Physical Therapist

  NPD
• Shelly Kraetz

  dba FYZICAL Therapy & Balance Centers

  • Physical Therapy Clinic/Center
  • Skaneateles, NY
  • NPI 1730463134

  Physical Therapist

  NPD

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1548024276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3481 FOURWHEEL DR",
            "city": "TULLY",
            "state": "NY",
            "postal_code": "131599623",
            "telephone_number": "607-842-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W GENESEE STREET RD",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131529311",
            "telephone_number": "315-291-7042",
            "fax_number": "315-291-7048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5639 W Genesee St",
            "address_purpose": "LOCATION",
            "city": "Camillus",
            "state": "NY",
            "postal_code": "130311250",
            "country_code": "US",
            "telephone_number": "315-291-7042",
            "fax_number": "315-291-7048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALLER",
        "first_name": "NATHANIEL",
        "middle_name": "ORIEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Komp Graham, M.S.
• Stephanie Gregory, M.S.
• Patrick Griffin
• Vicki J Guy, ATC
• Richard Nicholas Hahn, RPH
• Douglas William Halliday, MD
• Serena A. Hamel, RN
• Alison Hellwig
• Mary Ellen Hennigan, R.N.
• Jaebsary Patient Transport, Inc. (Caliber Patient Care)

• Physical Therapist in Skaneateles, NY
• Providers in Skaneateles, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.