Individual provider Active NPI

Gregory Joseph Kuzma, M.P.T.

  • Specialist
  • Erie, PA
National Provider Identifier
1235159609
Registry record updated Feb 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT008099L Issued in PA
Practice address
2111 W 8TH St
Erie, PA 16505-4707
Phone
(814) 456-5151
Fax
(814) 878-2911
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT008099L PA Primary

Addresses

Primary practice location

2111 W 8TH St
Erie, PA 16505-4707

Mailing address

2111 W 8TH St
Erie, PA 16505-4707
Phone (814) 456-5151

Other identifiers 2

IdentifierTypeStateIssuer
01818030MedicaidPA
906229OtherPAHIGHMARK BC/BS PROVIDER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051121000830 PA Practitioner - Physical Therapist in Private Practice 4082633888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashley and Kuzma Therapeutics, P.C.Group PAC ID 0345132601, 5 clinicians

Practice addresses (Care Compare)

2111 W 8TH St
Erie, PA 16505-4707
Phone (814) 456-5151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley & Kuzma Therapeutics, P.C. Specialist CurrentSince Sep 30, 2002 Accepting new patients
Wise Physical Therapy and Sports Medicine LLC Past Accepting new patients

Locations

2111 W 8th St
Erie, PA 16505
Phone (814) 456-5151

2063 W 8th St
Erie, PA 16505
Phone (724) 989-4564

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581120000000",
    "number": "1235159609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 W 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054707",
            "telephone_number": "814-456-5151",
            "fax_number": "814-878-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 W 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054707",
            "telephone_number": "814-456-5151",
            "fax_number": "814-878-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZMA",
        "first_name": "GREGORY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-02-08",
        "certification_date": "2020-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "PT008099L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01818030",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS  PROVIDER",
            "identifier": "906229",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2020; 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.