Active NPI
Saili Kantak
- Physical Therapist
- Staten Island, NY
National Provider Identifier
1073137154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 045209
- Practice address
- 2550 Victory Blvd
Staten Island, NY 10314-6611 - Phone
- (718) 761-0017
- NPI assigned
- Jun 3, 2020
- 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 | 045209 | NY | Primary |
Addresses
Primary practice location
2550 Victory Blvd
Staten Island, NY 10314-6611
Mailing address
204 10TH St Apt 227
Jersey City, NJ 07302-7412
Phone (909) 602-7465
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045209 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1073137154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 10TH ST APT 227",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073027412",
"telephone_number": "909-602-7465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146611",
"telephone_number": "718-761-0017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANTAK",
"first_name": "SAILI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-03",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "045209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.