Individual provider Active NPI

Ashley Kieltyka, DPT

  • Physical Therapist
  • Ardsley, NY
National Provider Identifier
1235684259
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040600-01 Issued in NY
Practice address
24 Major Appleby Rd
Ardsley, NY 10502-1627
Phone
(914) 804-4855
NPI assigned
Aug 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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 040600-01 NY Primary

Addresses

Primary practice location

24 Major Appleby Rd
Ardsley, NY 10502-1627

Mailing address

24 Major Appleby Rd
Ardsley, NY 10502-1627
Phone (914) 804-4855

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161108002180 NY Practitioner - Physical Therapist in Private Practice 6406135888 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Mercy College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Direct Physical Therapy PLLCGroup PAC ID 3173861432, 3 clinicians

Practice addresses (Care Compare)

51 Smart Ave
Suite 100
Yonkers, NY 10704-1150
Phone (914) 804-7947

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040600NYMDPeriodontist
040600-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
B Stern Physical Therapy P.C. Physical Therapist CurrentSince Oct 2, 2018 Accepting new patients
Direct Physical Therapy PLLC Physical Therapist CurrentSince Apr 24, 2019 Accepting new patients
Genesis Medical Health PC Past Accepting new patients

Locations

440 Beach 21st St
Far Rockaway, NY 11691
Phone (718) 327-5500

23 Robert Pitt Dr
Ste 110
Monsey, NY 10952

25 Robert Pitt Dr
Ste 109
Monsey, NY 10952
Phone (845) 625-2818

2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040

51 Smart Ave
Ste 100
Yonkers, NY 10704
Phone (914) 804-7947

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": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1235684259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MAJOR APPLEBY RD",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021627",
            "telephone_number": "914-804-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MAJOR APPLEBY RD",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021627",
            "telephone_number": "914-804-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIELTYKA",
        "first_name": "ASHLEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040600-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardsley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.