Individual provider Active NPI

Maria Kourmolis, P.T.

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1124186390
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
026221 Issued in NY
Practice address
2915 Avenue S
Brooklyn, NY 11229-2544
Phone
(718) 554-3680
Fax
(718) 874-2625
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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 026221 NY Primary

Addresses

Primary practice location

2915 Avenue S
Brooklyn, NY 11229-2544

Mailing address

3822 Avenue T
Brooklyn, NY 11234-4934
Phone (917) 981-4834

Other identifiers 1

IdentifierTypeStateIssuer
Q31F4OtherNYEMPIRE BLUE CROSSBLUESHIE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051228000096 NY Practitioner - Physical Therapist in Private Practice 3173545688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinetix Physical Therapy PCGroup PAC ID 4284965815, 2 clinicians

Practice addresses (Care Compare)

1751 Victory Blvd
Staten Island, NY 10314-3513
Phone (718) 252-0625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetix Physical Therapy PC Physical Therapist CurrentSince Feb 1, 2025 Accepting new patients
Physical Therapy of Brooklyn PLLC Physical Therapist Past Accepting new patients

Locations

1751 Victory Blvd
Staten Island, NY 10314
Phone (718) 252-0625

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1124186390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3822 AVENUE T",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344934",
            "telephone_number": "917-981-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 AVENUE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292544",
            "telephone_number": "718-554-3680",
            "fax_number": "718-874-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOURMOLIS",
        "first_name": "MARIA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSSBLUESHIE",
            "identifier": "Q31F4",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.

Verify at the official NPI Registry.