Healthcare Provider Details

I. General information

NPI: 1013163492
Provider Name (Legal Business Name): ACCENT PHYSICAL THERAPY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2008
Last Update Date: 02/07/2020
Certification Date: 02/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6620 FLY RD. SUITE 102
EAST SYRACUSE NY
13057-5075
US

IV. Provider business mailing address

6620 FLY RD SUITE 102
EAST SYRACUSE NY
13057-5075
US

V. Phone/Fax

Practice location:
  • Phone: 315-399-4770
  • Fax:
Mailing address:
  • Phone: 315-339-4770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number015163
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. SHAY KLEIN
Title or Position: PHYSICAL THERAPIST
Credential:
Phone: 315-399-4770