Susan M Kantor, PT
Individual provider Active NPI Physical Therapist · Frankfort, NY
NPI 1992809222 · NPPES record last updated Mar 18, 2019
Key facts
- NPI
- 1992809222
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 0065881 (NY)
- Practice address
- 4266 Acme Road
Frankfort, NY 13340-3504 - Phone
- (315) 894-3050
- Fax
- (315) 895-0915
- NPI assigned
- Sep 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Helen M Sarandrea Physical Therapy PLLC
Practice addresses (Care Compare)
8200 Seneca Tpke
Clinton, NY 13323-1027
Phone (315) 738-1671
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041101000316 | NY | Practitioner - Physical Therapist in Private Practice | 3476515511 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0065881 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helen M Sarandrea Physical Therapy PLLC | Physical Therapist | Current |
Accepting new patients |
Locations
8200 Seneca Tpke
Clinton, NY 13323
Phone (315) 738-1671
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0065881 | NY | Yes |
Addresses
Primary practice location
4266 Acme Road
Frankfort, NY 13340-3504
Mailing address
4266 Acme Road
Frankfort, NY 13340-3504
Phone (315) 894-3050
Other practice location 1
8200 Seneca Tpke
Clinton, NY 13323-1027
Phone (315) 738-1671
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01185359 | Medicaid | NY | |
| 1649065 | Other | NY | EXCELLUS BCBS |
| 915536 | Other | NY | MVP |
Other providers in Frankfort, NY
- Mary T. Hotaling
- Stephanie Johnson-Spencer
- Patricia Ann Johnson
- Marianne Jones
- Susan Dolansky Jones
- Aleksey Karpovich
- Beverley Kehoe
- Kristen Lara Kiesow
- Jean Kosina
- Tracy Joy Lebert
All providers in Frankfort, 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 Mar 18, 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.