MEDICARE: STEVEN KLEINHAMMER DPT

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	046154	NY

General Provider Information

NPI Number	:	1679188932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN KLEINHAMMER DPT

Provider Business Mailing Address
First Line	:	PO BOX 725
Second Line	:
City	:	MENDON
State	:	NY
Zip	:	14506-0725
Country	:	US
Telephone Number	:	585-582-6273
Fax Number	:

Provider Business Practice Location Address
First Line	:	37 N UNION ST
Second Line	:
City	:	SPENCERPORT
State	:	NY
Zip	:	14559-1244
Country	:	US
Telephone Number	:	585-349-2860
Fax Number	:	585-349-2995

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2020
Last Update Date	:	04/06/2021

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