NPIMap

Organization Active NPI

Shelly Kraetz

Doing business as FYZICAL Therapy & Balance Centers

  • Physical Therapy Clinic/Center
  • Skaneateles, NY
National Provider Identifier
1730463134
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
029599-1 Issued in NY
Legal business name
SHELLY KRAETZ
Doing business as
FYZICAL Therapy & Balance Centers
Practice address
810 W Genesee Street Rd
Skaneateles, NY 13152
Phone
(315) 291-7042
Fax
(315) 291-7048
NPI assigned
Oct 4, 2011
Last updated
Aug 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Authorized official

Name
Dr. Shelly G Kraetz, PDT, CLTNPI 1619169455
Title
Physical Therapist / Owner
Phone
(315) 291-7042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 029599-1 NY Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

810 W Genesee Street Rd
Skaneateles, NY 13152

Mailing address

PO Box 611
Skaneateles, NY 13152-0611
Phone (315) 291-7042

Other practice location 1

796 W Genesee Street Rd
Skaneateles, NY 13152-9311
Phone (315) 291-7042

Other practice location 2

5639 W Genesee St
Camillus, NY 13031-1250
Phone (315) 565-7060 ext. 31556

Other names 1

  • FYZICAL Therapy & Balance Centers Doing business as

National Provider Directory

National Provider Directory

Locations

3105 N Triphammer Rd
Lansing, NY 14882

796 W Genesee Street Rd
Skaneateles, NY 13152
Phone (315) 291-0051

810 W Genesee Street Rd
Skaneateles, NY 13152
Phone (315) 291-7042

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1730463134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 611",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131520611",
            "telephone_number": "315-291-7042",
            "fax_number": "315-291-7048"
        },
        {
            "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": "13152",
            "telephone_number": "315-291-7042",
            "fax_number": "315-291-7048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "796 W Genesee Street Rd",
            "address_purpose": "LOCATION",
            "city": "Skaneateles",
            "state": "NY",
            "postal_code": "131529311",
            "country_code": "US",
            "telephone_number": "315-291-7042",
            "fax_number": "315-291-7048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5639 W Genesee St",
            "address_purpose": "LOCATION",
            "city": "Camillus",
            "state": "NY",
            "postal_code": "130311250",
            "country_code": "US",
            "telephone_number": "315-565-7060 x31556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHELLY KRAETZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "KRAETZ",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST / OWNER",
        "authorized_official_telephone_number": "315-291-7042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PDT, CLT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "029599-1",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL Therapy & Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Skaneateles, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.