Individual provider Active NPI

Kate Santander

  • Geriatric Physical Therapist
  • Gloversville, NY
National Provider Identifier
1164136578
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
Practice address
236 Kingsboro Ave
Gloversville, NY 12078-1455
Phone
(518) 752-6422
NPI assigned
Jan 10, 2023
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X NU Primary

Addresses

Primary practice location

236 Kingsboro Ave
Gloversville, NY 12078-1455

Mailing address

236 Kingsboro Ave
Gloversville, NY 12078-1455

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL WEBPT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230119001761 NY Practitioner - Physical Therapist in Private Practice 7618348186 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
049682NYMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Rehab PT OT PLLC Geriatrics CurrentSince Jan 15, 2026 Accepting new patients

Locations

4 W Main St
Cambridge, NY 12816
Phone (347) 631-6150

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.

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1164136578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 KINGSBORO AVE",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 KINGSBORO AVE",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781455",
            "telephone_number": "518-752-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANDER",
        "first_name": "KATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WEBPT",
            "affiliation": "N",
            "address_1": "236 Kingsboro Ave",
            "city": "Gloversville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "120781455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gloversville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.