Active NPI
Mary Louise Kulakowski, P.T.
- Physical Therapist
- Bayonne, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00768300
- Practice address
- 21-29 W 25TH St
Bayonne, NJ 07002-9999 - Phone
- (201) 339-4160
- NPI assigned
- Dec 4, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00768300 | NJ | Primary |
| Physical Therapist | 225100000X | 8771 | NY |
Addresses
Primary practice location
21-29 W 25TH St
Bayonne, NJ 07002-9999
Mailing address
21-29 W 25TH St
Bayonne, NJ 07002-9999
Phone (201) 339-4160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Northwestern University Feinberg Medical School, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Novacare Way
Philadelphia, PA 19145-5900
Phone (267) 546-2990
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.32 of 100
- Quality
- 79.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 82.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00768300 | NJ | MD | Physical Therapist |
| 8771 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reconstructive Orthopaedic Associates II LLC | Current | Accepting new patients | |
| Reconstructive Orthopaedic Associates II LLC | Physical Therapist | Current | Accepting new patients |
| Bodywise Physical Therapy PLLC | Physical Therapist | Past | Accepting new patients |
Locations
833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191
925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738
Organizations & group practices 3
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.
-
dba Rothman Orthopaedics Institute
- Orthopaedic Surgery Physician
- Philadelphia, PA
- NPI 1861433278
-
dba Rothman Orthopaedics Institute
- Prosthetic/Orthotic Supplier
- Philadelphia, PA
- NPI 1497571830
Physical Therapist
-
dba Backtec Physical Therapy
- Physical Therapist
- New York, NY
- NPI 1083673891
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": "1407801600000",
"number": "1144388380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21-29 W 25TH ST",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070029999",
"telephone_number": "201-339-4160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21-29 W 25TH ST",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070029999",
"telephone_number": "201-339-4160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULAKOWSKI",
"first_name": "MARY",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2014-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00768300",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "8771",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.