MEDICARE: KURTZ PHYSICAL THERAPY SERVICES, PC

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
1	225100000X	Physical Therapist	0097551	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306840905
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KURTZ PHYSICAL THERAPY SERVICES, PC

Provider Business Mailing Address
First Line	:	89 E MAIN ST
Second Line	:
City	:	NORWICH
State	:	NY
Zip	:	13815-1537
Country	:	US
Telephone Number	:	607-336-3111
Fax Number	:	607-336-2311

Provider Business Practice Location Address
First Line	:	89 E MAIN ST
Second Line	:
City	:	NORWICH
State	:	NY
Zip	:	13815-1537
Country	:	US
Telephone Number	:	607-336-3111
Fax Number	:	607-336-2311

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	MR. KEITH D. KURTZ
Credential	:	PT
Telephone Number	:	607-336-3111

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	08/22/2020

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