Kalee Hennig
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · New Lebanon, NY
NPI 1992348494 · NPPES record last updated Oct 28, 2019
Key facts
- NPI
- 1992348494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1863 US Route 20
New Lebanon, NY 12125 - Phone
- (518) 956-2424
- NPI assigned
- Oct 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Montefiore Medical Center
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
2880 US Hwy 9
Suite 1
Valatie, NY 12184-5423
Phone (518) 758-6070
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251007000316 | NY | Practitioner - Physical Therapist in Private Practice | 9133626393 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054896 | NY | MD | Pharmacist |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current |
Accepting new patients | |
| Montefiore Medical Center | Current |
Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
2880 US Highway 9
Valatie, NY 12184
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1863 US Route 20
New Lebanon, NY 12125
Mailing address
1863 US Route 20
New Lebanon, NY 12125
Phone (518) 956-2424
Other providers in New Lebanon, NY
- Berkshire Radiological Assoc
- Vicki Jeanne Count
- Robert B Geehr
- Lebanon Valley Protective Association Inc
- Stuart J Masters
- Christine Preble
- Cheryle Rice
- Town of New Lebanon New Lebanon Central SCH BD of Ed
All providers in New Lebanon, NY · Student in an Organized Health Care Education/Training Program 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 28, 2019. 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.