Kurtis James Bianconi, PT DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

044445 Issued in NY

Practice address

230 Triphammer Rd
Ithaca, NY 14850-2517

Phone

(607) 266-5300

NPI assigned

Jul 3, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Stern at Home Physical Therapy PC

  • Physical Medicine & Rehabilitation Physician
  • Pomona, NY
  • NPI 1720563380

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1053973537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 STATE ROUTE 34B",
            "city": "AURORA",
            "state": "NY",
            "postal_code": "130269729",
            "telephone_number": "315-283-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 TRIPHAMMER RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148502517",
            "telephone_number": "607-266-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCONI",
        "first_name": "KURTIS",
        "middle_name": "JAMES",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Sommers Bewley, LMSW
• Prerica Bhattarai
• Samjhauta Bhattarai, M.B.B.S
• Joseph E Bialobreski, AUDIOLOGIST
• Miranda J Bianchi, LMSW
• Courtney Janelle Biddle, LMSW
• Brandon Michael Bilka, M.D.
• Pamela Byrne Billington, OTR/L
• Gail Birnbaum, RN
• Amanda Marie Bishop

• Physical Therapist in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.