Provider Demographics
NPI:1871607648
Name:KERR, JAMES LAWRENCE (PT)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:LAWRENCE
Last Name:KERR
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4244 COUNTYLINE RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021
Mailing Address - Country:US
Mailing Address - Phone:315-685-1150
Mailing Address - Fax:
Practice Address - Street 1:2109 RTS 5 20
Practice Address - Street 2:ORTHOPEDICS PLUS
Practice Address - City:SENECA FALLS
Practice Address - State:NY
Practice Address - Zip Code:13148
Practice Address - Country:US
Practice Address - Phone:315-568-2249
Practice Address - Fax:315-568-1857
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0087651225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY10229BMedicare ID - Type Unspecified