Shane M Cherico (NPI# 1881024438, PAC ID# 6305063686) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1881024438 |
| PAC ID by PECOS | 6305063686 |
| Professional Enrollment ID | I20140811000401 |
| Full Name | Shane M Cherico |
| Organization Legal Name | SPORTS PHYSICAL THERAPY OF NEW YORK, P.C. |
| Address |
4102 Ellsworth Blvd Malta NY 12020 |
| Phone Number | 5182401152 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4284531674 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4102 Ellsworth Blvd, Malta, NY 12020 | 5182401152 | SPORTS PHYSICAL THERAPY OF NEW YORK, P.C. |
| 1 W Ave, Suite 150, Saratoga Spgs, NY 12866-6050 | 5185837537 | SPORTS PHYSICAL THERAPY OF NEW YORK, P.C. |
| Organization Legal Name | SPORTS PHYSICAL THERAPY OF NEW YORK, P.C. |
| Physicians | 47 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julian Paul Bermingham | Physical Therapy | Sports Physical Therapy of New York, P.C. | 2540 Sheridan Dr, Tonawanda, NY 14150-9410 |
| Kieran Mccoy | Physical Therapy | Sports Physical Therapy of New York, P.C. | 4102 Ellsworth Blvd, Malta, NY 12020 |
| Drew Simoneau | Physical Therapy | Sports Physical Therapy of New York, P.C. | 5320 W Genesee St, Suite 2, Camillus, NY 13031-2279 |
| Cody Kelly | Physical Therapy | Sports Physical Therapy of New York, P.C. | 7455 Morgan Rd, Suite 2, Liverpool, NY 13090-3956 |
| Christopher Michael Ruffino | Physical Therapy | Sports Physical Therapy of New York, P.C. | 285 Delaware Ave, Buffalo, NY 14202-1885 |
| Kevin James Brown | Physical Therapy | Sports Physical Therapy of New York, P.C. | 6319 Fly Rd, Suite 3, East Syracuse, NY 13057-4900 |
| Kimberly A Attwood | Physical Therapy | Sports Physical Therapy of New York, P.C. | 3376 Niagara Falls Blvd, Suite 4, North Tonawanda, NY 14120-1396 |
| Sheila Burth | Physical Therapy | Sports Physical Therapy of New York, P.C. | 140 W Seneca St, Manlius, NY 13104-2420 |
| Timothy Abel | Physical Therapy | Sports Physical Therapy of New York, P.C. | 803 Ridge Rd A, Webster, NY 14580-2489 |
| Jennifer Szymanski | Physical Therapy | Sports Physical Therapy of New York, P.C. | 803 Ridge Rd, Suite A, Webster, NY 14580-2489 |
| Street Address |
4102 ELLSWORTH BLVD |
| City | MALTA |
| State | NY |
| Zip | 12020 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kieran Mccoy | Physical Therapy | Sports Physical Therapy of New York, P.C. | 4102 Ellsworth Blvd, Malta, NY 12020 |
| Zachary Cole | Physical Therapy | Sports Physical Therapy of New York, P.C. | 4102 Ellsworth Blvd, Malta, NY 12020 |
| Jeanine Marie Burke | Physical Therapy | Sports Physical Therapy of New York, P.C. | 4102 Ellsworth Blvd, Malta, NY 12020 |
| Pamela Woods | Physical Therapy | Sports Physical Therapy of New York, P.C. | 4102 Ellsworth Blvd, Malta, NY 12020-0034 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel R Grady | Physician Assistant | Healthcare Partners of Saratoga Ltd | 6 Medical Park Blvd, Malta, NY 12020 |
| Frank H Westad | Nurse Practitioner | Ellis Hospital | 2537 Route 9, Suite 203, Malta, NY 12020 |
| Michelle L Ryan | Nurse Practitioner | Malta Medical Care, P.C. | 2554 Route 9, Ballston Spa, NY 12020 |
| Katie Vittengl Yeaton | Nurse Practitioner | Malta Medical Care, P.C. | 2554 Route 9, Ballston Spa, NY 12020 |
| Morgan J Vittengl | Family Medicine | Malta Medical Care, P.C. | 2554 Route 9, Ballston Spa, NY 12020 |
| Courtney B Diamond | Nurse Practitioner | Ellis Hospital | 2537 Route 9, Suite 203, Malta, NY 12020 |
| Kimberly A Montelone | Nurse Practitioner | Ellis Hospital | 2537 Route 9, Suite 203, Malta, NY 12020 |
| Katherine E Hughes | Physician Assistant | Healthcare Partners of Saratoga Ltd | 6 Medical Park Blvd, Malta, NY 12020 |
| Anthony R Parenti | Physician Assistant | Healthcare Partners of Saratoga Ltd | 6 Medical Park Blvd, Malta, NY 12020 |
| Cora L Caulfield | Physician Assistant | Healthcare Partners of Saratoga Ltd | 6 Medical Park Blvd, Malta, NY 12020 |
| Find all physicians in zip 12020 | |||
| City | MALTA |
| Zip Code | 12020 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | MALTA + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.