KEVIN J NELLIS PT
NPI 1790867547
Physical Therapist in Syracuse, NY

Active since October 20, 2006Accepts Medicare Assignment
207 PINE ST, SYRACUSE, NY 13210(315) 476-3175(315) 476-0170 Get Directions Write a Review

NPPES record last updated: February 9, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kevin J Nellis Pt NPPES

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

KEVIN J NELLIS PT (NPI 1790867547) is an individual physical therapist in Syracuse, New York and active in the NPI registry since October 2006. He is a graduate of Other (1983).

NPPES Registry Identity

NPI1790867547
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameKEVIN J NELLISCredential: PT
Location Address207 PINE STSyracuse, NY 13210-1137
Mailing Address207 Pine StSyracuse, NY 13210-1137 · (315) 476-3175 · Fax (315) 476-0170
Fax(315) 476-0170
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateOctober 20, 2006
Last NPPES UpdateFebruary 9, 2011
NPI 1790867547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Also ListedSpecialistTaxonomy 174400000X · License 8133 (NY)
207 PINE ST, Syracuse, NY 13210

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kevin J Nellis Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173512803
PECOS Enrollment IDI20111128000212

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
2,015 services76 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
351 services36 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
33 services14 patients
Evaluation for physical therapy, typically 45 minutes 97163
An evaluation for physical therapy is a comprehensive assessment of your body's functionality. It typically takes 45 minutes and involves tests to determine your strength, flexibility, balance, and pain levels. This information is crucial to create a personalized therapy plan to improve your mobility and comfort.
17 services16 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
207 PINE ST
SYRACUSE, NY 13210
Occupational Therapist
207 PINE ST
SYRACUSE, NY 13210
Specialist
207 PINE ST
SYRACUSE, NY 13210
Physical Therapist
207 PINE ST
SYRACUSE, NY 13210
Specialist
207 PINE ST
SYRACUSE, NY 13210
Physical Therapist
207 PINE ST
SYRACUSE, NY 13210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790867547, enumerated as an "individual" on October 20, 2006.

The provider is located at 207 PINE ST SYRACUSE, NY 13210 and the phone number is (315) 476-3175.

Physical Therapist with taxonomy code 225100000X.