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

Stephen Michael Nellis, PT

Individual provider Specialist · NPI 1508948167

Stephen Michael Nellis, PT is a Specialist in Canastota, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

3400 Seneca Tpke Ste 7
Canastota, NY 13032-4632
Phone: (315) 697-8514
Fax: (315) 697-8147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 17733 (NY)

Record details

NPI number1508948167
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 20, 2006
Last updated in NPPESOctober 29, 2019
Mailing address207 Pine St, Syracuse, NY 13210-1137

Other providers in Canastota