Active NPI
Jacob Kurian, MS,PT
- Physical Therapist
- Islandia, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 026465
- Practice address
- 183 Sunflower LN
Islandia, NY 11749-1616 - Phone
- (631) 630-9115
- Fax
- (516) 873-9522
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 026465 | NY | Primary |
Addresses
Primary practice location
183 Sunflower LN
Islandia, NY 11749-1616
Mailing address
183 Sunflower LN
Islandia, NY 11749-1616
Phone (631) 630-9115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
137 Willis Ave
Suite 100
Mineola, NY 11501-2670
Phone (516) 833-5880
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026465 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enhanced Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC | Physical Therapist | Past | Accepting new patients |
Locations
137 Willis Ave
Ste 100
Mineola, NY 11501
Phone (516) 741-9600
137 Willis Ave
Mineola, NY 11501
Phone (516) 741-8822
8611 Lefferts Blvd
Ste 3B
Richmond Hill, NY 11418
Phone (718) 581-5599
13104 Liberty Ave
South Richmond Hill, NY 11419
Phone (516) 587-0950
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 2
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.
-
- Physical Therapist
- South Richmond Hill, NY
- NPI 1003110164
-
- Occupational Therapist
- Garden City, NY
- NPI 1356742365
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063453538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "183 SUNFLOWER LN",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117491616",
"telephone_number": "631-630-9115",
"fax_number": "516-873-9522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "183 SUNFLOWER LN",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117491616",
"telephone_number": "631-630-9115",
"fax_number": "516-873-9522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURIAN",
"first_name": "JACOB",
"name_prefix": "Mr.",
"credential": "MS,PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "026465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Islandia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.