OrganizationActive
Waldron Physiotherapy, PLLC
NPI 1053842575 · Physical Therapy Clinic/Center · Chittenango, NY
Provider details
- NPI number
- 1053842575
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Keith Waldron, Manager(315) 503-1057
- License
- 021540-1 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
103 Charlies Pl
Chittenango, NY 13037-1080
Phone: (315) 503-1057
Fax: (315) 409-7708
Street-level locationGet directions
Mailing address
Po Box 480
Chittenango, NY 13037-0480
Registry dates
- Enumerated
- 2017-03-26
- Last updated
- 2017-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.