MRS. TRACEY ANN KELEHER (NPI# 1912217050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912217050 |
| Entity Type | Individual |
| Full Name | MRS. TRACEY ANN KELEHER |
| Credential | P.T |
| Practice Address |
150 Independence Ln Grand Island NY 14072-1877 |
| Practice Telephone | 7167735986 |
| Mailing Telephone | 7167735986 |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
015207-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
150 INDEPENDENCE LN |
| City | GRAND ISLAND |
| State | NY |
| Zip Code | 14072-1877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275183287 | Bodyworksolutions LLC | Physical Therapist | 2099 Grand Island Blvd., Ste B, Grand Island, NY 14072 | 2019-09-12 |
| 1134685084 | Dr. Cassata Eye Care Optometrist, P.C. | Optometrist | 1780 Grand Island Blvd, Grand Island, NY 14072 | 2019-02-15 |
| 1487122875 | Kimberley Catherine Banas | Licensed Practical Nurse | 552 East River Rd, Grand Island, NY 14072 | 2018-11-05 |
| 1538667910 | Lauren Jane Fonte | Specialist | 218 Woodstream Drive, Grand Island, NY 14072 | 2018-01-31 |
| 1750806279 | Susan Ruth Spiesz | In Home Supportive Care | 2970 Sunset Drive, Grand Island, NY 14072 | 2017-08-04 |
| 1265894307 | Corey Yamamura | Case Manager/Care Coordinator | Baseline Rd., Grand Island, NY 14072 | 2016-03-28 |
| 1174890941 | Kristine Ann Taylor | Speech-Language Pathologist | 1100 Ransom Road, Grand Island Central School District, Grand Island, NY 14072 | 2011-11-22 |
| 1710141890 | Jo Ann Marie Mallo | Dietitian, Registered | 452 White Haven Rd, Grand Island, NY 14072 | 2008-07-17 |
| 1972782720 | Jeanne Quintern | Pharmacist | 2325 Grand Island Blvd, Grand Island, NY 14072 | 2007-10-29 |
| 1689894909 | Island Prescription Center,llc | Pharmacy | 1728 Grand Island Blvd, Grand Island, NY 14072 | 2007-04-27 |
| Find all providers in zip 14072 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003425968 | Onward Physical Therapy, Pllc | Physical Therapist | 625 West Dryden Rd, Freeville, NY 13068-9746 | 2020-07-27 |
| 1487270765 | Narda Silipo | Physical Therapist | 40 Merrick Ave, East Meadow, NY 11554-1581 | 2020-06-22 |
| 1851931380 | Shirley John | Physical Therapist | 51 Highway Ave, Congers, NY 10920-2519 | 2020-01-13 |
| 1467096453 | Kathleen Freund | Physical Therapist | 1963 Lincoln Ct, Westbury, NY 11590-5924 | 2019-11-01 |
| 1487204038 | Monique Susanne Berg-spindelman | Physical Therapist | 4 Cedarwood Cir, Pittsford, NY 14534-3246 | 2019-09-16 |
| 1215586839 | Bishoy Maximous | Physical Therapist | 47 Brook Ave, Staten Island, NY 10306-4434 | 2019-09-06 |
| 1558915488 | David Michael Avery | Physical Therapist | 107 Laverack Ave, Lancaster, NY 14086-1844 | 2019-07-29 |
| 1659855534 | Eileen Galang | Physical Therapist | 347 Richard Ct, Pomona, NY 10970-2310 | 2018-09-18 |
| 1467935494 | Megan Passarelle | Physical Therapist | 29 Debragga Ave, East Moriches, NY 11940-1416 | 2018-09-14 |
| 1891275012 | Betty Ann M Dubacher | Physical Therapist | 43 Red Pond Rd, Petersburg, NY 12138-5916 | 2018-08-16 |
| Find all providers with the same taxonomy | ||||
| City | GRAND ISLAND |
| Zip Code | 14072 |
Please comment or provide details below to improve the information on MRS. TRACEY ANN KELEHER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.