Provider Demographics
NPI:1346299666
Name:GILL-SMITH, KERI A (PT)
Entity Type:Individual
Prefix:MS
First Name:KERI
Middle Name:A
Last Name:GILL-SMITH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 MICHAEL DR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-3504
Mailing Address - Country:US
Mailing Address - Phone:518-567-9030
Mailing Address - Fax:
Practice Address - Street 1:6511 SPRING BROOK AVE
Practice Address - Street 2:DEPTARTMENT OF PHYSICAL MEDICINE
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-3709
Practice Address - Country:US
Practice Address - Phone:845-871-3427
Practice Address - Fax:845-871-4307
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023104225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist