Active NPI
Kathleen Denise Sumner, P.T.
- Physical Therapist
- Little Falls, NY
National Provider Identifier
1144393463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 009256-1
- Practice address
- 500 E Main St
Suite 400
Little Falls, NY 13365-1444 - Phone
- (315) 823-2990
- Fax
- (315) 823-0229
- NPI assigned
- Nov 16, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 009256-1 | NY | Primary |
Addresses
Primary practice location
500 E Main St
Suite 400
Little Falls, NY 13365-1444
Mailing address
500 E Main St
Suite 400
Little Falls, NY 13365-1444
Phone (315) 823-2990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01185340 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041123000300 | NY | Practitioner - Physical Therapist in Private Practice | 5092770677 | Practice locations: Little Falls, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Albany Medical College of Union University, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
54 W Main St
Little Falls, NY 13365-1327
Phone (315) 823-2990
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009256-1 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Mindful Practice LCSW PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Little Falls, NY
- NPI 1982081667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144393463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E MAIN ST",
"address_2": "SUITE 400",
"city": "LITTLE FALLS",
"state": "NY",
"postal_code": "133651444",
"telephone_number": "315-823-2990",
"fax_number": "315-823-0229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E MAIN ST",
"address_2": "SUITE 400",
"city": "LITTLE FALLS",
"state": "NY",
"postal_code": "133651444",
"telephone_number": "315-823-2990",
"fax_number": "315-823-0229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMNER",
"first_name": "KATHLEEN",
"middle_name": "DENISE",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "009256-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01185340",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.