Individual provider Active NPI

Kathleen K Febos, PT

  • Physical Therapist
  • West Islip, NY
National Provider Identifier
1033197710
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7484 Issued in NY
Practice address
400 Montauk Hwy
Suite# 103
West Islip, NY 11795-4429
Phone
(631) 661-3700
Fax
(631) 661-3749
NPI assigned
Jan 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7484 NY Primary

Addresses

Primary practice location

400 Montauk Hwy
Suite# 103
West Islip, NY 11795-4429

Mailing address

400 Montauk Hwy
Suite 103
West Islip, NY 11795-4429
Phone (631) 661-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061017000226 NY Practitioner - Physical Therapist in Private Practice 4486650355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Generations Physical Therapy PLLCGroup PAC ID 1951307818, 2 clinicians

Practice addresses (Care Compare)

400 Montauk Hwy
Suite 103
West Islip, NY 11795-4429
Phone (631) 661-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7484NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Physical Therapy PLLC Physical Therapist CurrentSince Apr 1, 2006 Accepting new patients

Locations

400 Montauk Hwy
Ste 103
West Islip, NY 11795
Phone (631) 661-3700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241136000000",
    "number": "1033197710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MONTAUK HWY",
            "address_2": "SUITE 103",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954429",
            "telephone_number": "631-661-3700",
            "fax_number": "631-661-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MONTAUK HWY",
            "address_2": "SUITE# 103",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954429",
            "telephone_number": "631-661-3700",
            "fax_number": "631-661-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEBOS",
        "first_name": "KATHLEEN",
        "middle_name": "K",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2009-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "7484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.