Active NPI
Kyle Patrick Veltre
- Physical Therapist
- New York, NY
National Provider Identifier
1205484482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 044668-01
- Practice address
- 76 9TH Ave Ste 810
New York, NY 10011-4962 - Phone
- (212) 624-1080
- Fax
- (212) 867-4353
- NPI assigned
- Aug 30, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 044668-01 | NY | Primary |
Addresses
Primary practice location
76 9TH Ave Ste 810
New York, NY 10011-4962
Mailing address
129 W 29TH St FL 10
New York, NY 10001-5105
Phone (415) 658-6791
Other practice location 1
30 Broad St
New York, NY 10004-2304
Phone (646) 790-7454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044668 | NY | MD | General Practice Dentistry |
| 044668-01 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai School of Medicine | 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 and National Provider Directory roles.
-
- Family Medicine Physician
- New York, NY
- NPI 1528538774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1205484482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 W 29TH ST FL 10",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100015105",
"telephone_number": "415-658-6791",
"fax_number": "415-520-0904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 9TH AVE STE 810",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100114962",
"telephone_number": "212-624-1080",
"fax_number": "212-867-4353"
}
],
"practiceLocations": [
{
"address_1": "30 Broad St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100042304",
"country_code": "US",
"telephone_number": "646-790-7454",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELTRE",
"first_name": "KYLE",
"middle_name": "PATRICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-30",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "044668-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.