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NPI Code Detail

MEDICARE: CAMILLIA J MCKLEVIS PT

MEDICARE: CAMILLIA J MCKLEVIS PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist003020-1NY

General Provider Information

NPI Number : 1033222567
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMILLIA J MCKLEVIS PT
Provider Business Mailing Address
First Line : 4983 ABBOTT RD
Second Line :
City : ORCHARD PARK
State : NY
Zip : 14127-4305
Country : US
Telephone Number : 716-648-1572
Fax Number :
Provider Business Practice Location Address
First Line : 4635 UNION RD
Second Line :
City : CHEEKTOWAGA
State : NY
Zip : 14225-1851
Country : US
Telephone Number : 716-505-5700
Fax Number : 716-633-9351
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2006
Last Update Date : 12/28/2025

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Directions to “ CAMILLIA J MCKLEVIS PT” Practice Location

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