Kiersten Anne Ryndak, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

014136-1 Issued in NY

Practice address

6000 Brockton Dr
Lockport, NY 14094-9273

Phone

(716) 201-1049

Fax

(716) 201-1156

NPI assigned

Sep 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kiersten Anne Maska Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1205310232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4871 LOWER MOUNTAIN RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949742",
            "telephone_number": "716-438-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 BROCKTON DR",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949273",
            "telephone_number": "716-201-1049",
            "fax_number": "716-201-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYNDAK",
        "first_name": "KIERSTEN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014136-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIERSTEN",
            "last_name": "MASKA",
            "middle_name": "ANNE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julia H Russell, LCSW
• Margaret Russell, DC
• Richard Rutherford, LMSW
• Julia Rutland, RN
• Alexandra R Ryan, LPN
• Neil Arthur Saari, DPT
• Jacqueline Marie Sage, PT
• Rita Fattouch Saikali, MD
• Melissa Marie Sandusky
• Brielle J Santora

• Physical Therapist in Lockport, NY
• Providers in Lockport, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.