Healthcare Provider Details

I. General information

NPI: 1154679066
Provider Name (Legal Business Name): KAYLEE M STEARNS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAYLEE PELUSO DPT

II. Dates (important events)

Enumeration Date: 08/27/2012
Last Update Date: 04/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2621 CULVER RD
ROCHESTER NY
14609-1746
US

IV. Provider business mailing address

515 LONG POND RD
ROCHESTER NY
14612-3005
US

V. Phone/Fax

Practice location:
  • Phone: 585-697-7696
  • Fax: 585-697-7698
Mailing address:
  • Phone: 585-227-2310
  • Fax: 585-227-2312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number035481
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: