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STEPHEN MICHAEL NELLIS PT
NPI 1508948167
Specialist in Canastota, NY

Active since October 20, 2006
3400 SENECA TPKE STE 7, CANASTOTA, NY 13032(315) 697-8514(315) 697-8147 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephen Michael Nellis Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN MICHAEL NELLIS PT (NPI 1508948167) is an individual specialist in Canastota, New York, licensed in New York (17733) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1508948167
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameSTEPHEN MICHAEL NELLISCredential: PT
Location Address3400 SENECA TPKE STE 7Canastota, NY 13032-4632
Mailing Address207 Pine StSyracuse, NY 13210-1137 · (315) 476-3176 · Fax (315) 476-0171
Phone(315) 697-8514
Fax(315) 697-8147
Sole ProprietorNo
Enumeration DateOctober 20, 2006
Last NPPES UpdateOctober 29, 2019
✔ NPI 1508948167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 17733
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3400 SENECA TPKE STE 7, Canastota, NY 13032
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Nellis's NPI number?

The NPI number for Stephen Nellis is 1508948167. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Stephen Nellis located?

Stephen Nellis practices at 3400 Seneca Tpke Ste 7, Canastota, NY 13032. The listed phone number is (315) 697-8514.

What is Stephen Nellis's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Stephen Nellis was last updated on October 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.