Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly J Waiksnoris, DPT

Individual provider Physical Therapist · NPI 1306504683

Kelly J Waiksnoris, DPT is a Physical Therapist in Private Practice in Slingerlands, New York. Qualified in 2021, 5 years ago. Practices with Nicolla and Associates PT and OT Services PLLC, a 28-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

10 Vista Blvd
Slingerlands, NY 12159-2187
Phone: (518) 478-9049
Fax: (518) 478-0133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 048678 (NY)
Physical Therapist Taxonomy 225100000X · Licence P113236 (NY)

Record details

NPI number1306504683
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 3, 2021
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Nicolla And Associates Pt And Ot Services Pllc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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