Active NPI
Katayoun Sedehizadeh
- Physical Therapist
- New York, NY
National Provider Identifier
1063745156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 041437-1
- Practice address
- 147 W 35TH St
Suite 407
New York, NY 10001-2110 - Phone
- (917) 685-9334
- Fax
- (917) 591-8494
- NPI assigned
- Sep 8, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 041437-1 | NY | Primary |
Addresses
Primary practice location
147 W 35TH St
Suite 407
New York, NY 10001-2110
Mailing address
12509 84TH Rd
3Rd Floor
Kew Gardens, NY 11415-2247
Phone (718) 441-6695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041437-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543363200000",
"number": "1063745156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12509 84TH RD",
"address_2": "3RD FLOOR",
"city": "KEW GARDENS",
"state": "NY",
"postal_code": "114152247",
"telephone_number": "718-441-6695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 W 35TH ST",
"address_2": "SUITE 407",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100012110",
"telephone_number": "917-685-9334",
"fax_number": "917-591-8494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEDEHIZADEH",
"first_name": "KATAYOUN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-08",
"last_updated": "2018-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "041437-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.