Individual provider Active NPI

Jonathan Michael Kula, MSPT

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1144480856
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
870319 Issued in DC
Practice address
1712 Eye St NW BSMT 110
Washington, DC 20006-3702
Phone
(202) 257-1363
Fax
(800) 749-8440
NPI assigned
Jun 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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 870319 DC Primary

Addresses

Primary practice location

1712 Eye St NW BSMT 110
Washington, DC 20006-3702

Mailing address

68 Newbury Dr
Stafford, VA 22556-4620
Phone (202) 257-1363

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040710000210 DC Practitioner - Physical Therapist in Private Practice 7911985650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Virginia Commonwealth University, School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1712 Eye St NW
Lowr Level110
Washington, DC 20006-3702
Phone (202) 257-1363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
870319DCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Neuromuscular and Massage Rehabilitation LLC Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients
Center for Neuromuscular and Massage Rehabilitation Current Accepting new patients

Locations

1712 Eye St NW
Lowr
Washington, DC 20006
Phone (202) 257-1363

1712 Eye St NW
Bsmt 110
Washington, DC 20006
Phone (202) 257-1363

1717 K St NW
Washington, DC 20006
Phone (202) 266-4500

1717 K St NW
Ste 600
Washington, DC 20006
Phone (202) 236-0911

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": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1144480856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 NEWBURY DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225564620",
            "telephone_number": "202-257-1363",
            "fax_number": "800-749-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 EYE ST NW BSMT 110",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200063702",
            "telephone_number": "202-257-1363",
            "fax_number": "800-749-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULA",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "870319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.