Individual provider Active NPI

Katya Czarina Ditan, PT

  • Physical Therapist
  • Great Neck, NY
National Provider Identifier
1093287401
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
38 S Station PLZ
Great Neck, NY 11021-3531
Phone
(165) 201-2345
Fax
(845) 295-9156
NPI assigned
Dec 24, 2018
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NY Primary

Addresses

Primary practice location

38 S Station PLZ
Great Neck, NY 11021-3531

Mailing address

21 Mill St
Liberty, NY 12754-2010
Phone (845) 292-8810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190123002182 NY Practitioner - Physical Therapist in Private Practice 4183961584 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth and Fitness PT OT PLLC Multi-Specialty CurrentSince Jun 16, 2025 Accepting new patients
Central Park Physical Medicine and Rehabilitation P.C. Multi-Specialty CurrentSince Jul 13, 2022 Accepting new patients
Prohealth and Fitness PT OT PLLC Physical Therapist CurrentSince Jun 16, 2025 Accepting new patients
Angel Alliance Physical Therapy & Acupuncture PLLC Multi-Specialty CurrentSince Jan 21, 2024 Accepting new patients

Locations

2825 3rd Ave
Apt 4
Bronx, NY 10455
Phone (212) 447-0300

38 S Station Plz
Great Neck, NY 11021
Phone (516) 201-2345

10 E 39th St
New York, NY 10016
Phone (212) 447-0300

10 E 39th St
Fl 3
New York, NY 10016
Phone (212) 447-0300

150 W End Ave
Apt 1M
New York, NY 10023
Phone (212) 496-2600

2 W 86th St
Apt 1
New York, NY 10024
Phone (212) 447-0300

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1545609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1093287401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MILL ST",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127542010",
            "telephone_number": "845-292-8810",
            "fax_number": "845-295-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 S STATION PLZ",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213531",
            "telephone_number": "165-201-2345",
            "fax_number": "845-295-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITAN",
        "first_name": "KATYA",
        "middle_name": "CZARINA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-24",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.