Kassidy M Kusak, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1305613 Issued in TX

Practice address

1100 Wilford Hall Loop BLDG 4554
Jbsa Lackland, TX 78236-5638

Phone

(210) 566-9995

NPI assigned

Jun 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

49.35 of 100Reported as group

Quality

41.37

Improvement activities

20

Cost

63.68

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1073008553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 W LOOP 1604 N STE 117",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782545440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WILFORD HALL LOOP BLDG 4554",
            "city": "JBSA LACKLAND",
            "state": "TX",
            "postal_code": "782365638",
            "telephone_number": "210-566-9995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6511 W Loop 1604 N Ste 117",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78254",
            "country_code": "US",
            "telephone_number": "210-201-0185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUSAK",
        "first_name": "KASSIDY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1305613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "1305613",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Kraus, FNP-C
• Eric Steven Kretz, MD
• Kevin Edward Kriege, D.O.
• Ann Kronenwetter, MD
• Robert M Kruger, MD
• Soon Wook Kwon, MD
• Benjamin David La Guardia
• Elezabeth Labib-Zuniga, AUD
• Bhavna Lalvani
• Michael Land, DO

• Physical Therapist in Jbsa Lackland, TX
• Providers in Jbsa Lackland, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.