Individual provider Active NPI

James Kalenderian, P.T.

  • Physical Therapist
  • Locust Valley, NY
National Provider Identifier
1215010392
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
020499 Issued in NY
Practice address
146 Birch Hill Rd
Locust Valley, NY 11560-1833
Phone
(516) 759-7821
Fax
(516) 759-1666
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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 020499 NY Primary

Addresses

Primary practice location

146 Birch Hill Rd
Locust Valley, NY 11560-1833

Mailing address

146 Birch Hill Rd
Locust Valley, NY 11560-1833
Phone (516) 759-7821

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040603000045 NY Practitioner - Physical Therapist in Private Practice 9436131554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soundside Physical Therapy PCGroup PAC ID 8527958164, 6 clinicians

Practice addresses (Care Compare)

146 Birch Hill Rd
Locust Valley, NY 11560-1833
Phone (516) 759-9717

Merit-based Incentive Payment System (MIPS)

Final score
93.39 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Soundport PT, PC Physical Therapist CurrentSince Apr 27, 2022 Accepting new patients
Soundside Physical Therapy P.C. Physical Therapist CurrentSince Sep 16, 2002 Accepting new patients
Connecticut Soundside Physical Therapy Homecare, PC PastSince Mar 15, 2007 Accepting new patients

Locations

196 Birch Hill Rd
Locust Valley, NY 11560
Phone (516) 628-1904

146 Birch Hill Rd
Locust Valley, NY 11560
Phone (516) 723-9305

Organizations & group practices 3

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248825600000",
    "number": "1215010392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 BIRCH HILL RD",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115601833",
            "telephone_number": "516-759-7821",
            "fax_number": "516-759-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 BIRCH HILL RD",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115601833",
            "telephone_number": "516-759-7821",
            "fax_number": "516-759-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALENDERIAN",
        "first_name": "JAMES",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2009-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.