Maria Thannhauser, DPT

Individual provider Active NPI Physical Therapist · Chittenango, NY

NPI 1679183248 · NPPES record last updated Aug 7, 2020

Key facts

NPI
1679183248
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
045468 (NY)
Practice address
1398 State Route 5
Chittenango, NY 13037-8763
Phone
(315) 510-3372
Fax
(315) 510-3688
NPI assigned
Aug 7, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 045468 NY Yes

Addresses

Primary practice location

1398 State Route 5
Chittenango, NY 13037-8763

Mailing address

1398 State Route 5
Chittenango, NY 13037-8763
Phone (315) 510-3372

Electronic endpoints

TypeEndpointUseAffiliation
Other URL chittenangophysicaltherapy.com Direct

Other providers in Chittenango, NY

All providers in Chittenango, NY · Physical Therapist in New York

Sources for this page

Verify at the official NPI Registry.