Organization Active NPI

Simranjeet Kaur Physical Therapy PC

  • Physical Therapist
  • Hicksville, NY
National Provider Identifier
1255905139
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SIMRANJEET KAUR PHYSICAL THERAPY PC
Practice address
11 W Nicholai St
Hicksville, NY 11801-3805
Phone
(516) 344-9993
NPI assigned
May 17, 2021
Last updated
May 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Authorized official

Name
Simranjeet Kaur, PTNPI 1053830281
Title
PT/Owner
Phone
(516) 344-9993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

11 W Nicholai St
Hicksville, NY 11801-3805

Mailing address

11 W Nicholai St
Hicksville, NY 11801-3805
Phone (516) 344-9993

Other identifiers 1

IdentifierTypeStateIssuer
036064OtherNYLICENSE NO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210719000053 NY Part B Supplier - Clinic/Group Practice 6103228861 Receives reassigned benefits from 1 practitioner
Practice locations: Hicksville, NY; Lawrence, NY

National Provider Directory

National Provider Directory

Locations

11 W Nicholai St
Hicksville, NY 11801
Phone (516) 344-9993

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1255905139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W NICHOLAI ST",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013805",
            "telephone_number": "516-344-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W NICHOLAI ST",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013805",
            "telephone_number": "516-344-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMRANJEET KAUR PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "SIMRANJEET",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "516-344-9993",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO",
            "identifier": "036064",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.