Kathryn Lynn Wilmot
Individual provider Active NPI Physical Therapist · Canastota, NY
NPI 1659606796 · NPPES record last updated Oct 7, 2009
Key facts
- NPI
- 1659606796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 022050-1 (NY)
- Practice address
- 3258 Perryville Road
Canastota, NY 13032 - Phone
- (315) 655-4396
- NPI assigned
- Oct 7, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- State University of Ny Upstate Medical University, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
588 Broad St
Oneida, NY 13421-2465
Phone 31536392814300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091026000507 | NY | Practitioner - Physical Therapist in Private Practice | 8325185200 | Practice locations: Oneida, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022050-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nysarc Inc. | Past |
Accepting new patients | |
| Madison Cortland Chapter, Nysarc, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 022050-1 | NY | Yes |
Addresses
Primary practice location
3258 Perryville Road
Canastota, NY 13032
Mailing address
3258 Perryville Road
Canastota, NY 13032
Other names
- Kathryn Lynn Bachmann
Other providers in Canastota, NY
- Ross Woodson Trent
- Barbara Jean Vaccaro
- Walgreen Co
- Tya Warner
- Kelly Weaver
- Sabrina Wing
- Peter Jacob Wingerter
- Maizie Jo Zamlowski
All providers in Canastota, 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 Oct 7, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.