Individual provider Active NPI

Hazel Katherine Sto Tomas, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1275808107
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
026880 Issued in NY
Practice address
1980 Amsterdam Ave
Unit 1B
New York, NY 10032-5058
Phone
(212) 740-2049
Fax
(201) 561-0158
NPI assigned
Mar 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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 026880 NY Primary

Addresses

Primary practice location

1980 Amsterdam Ave
Unit 1B
New York, NY 10032-5058

Mailing address

38 Deerfield St
Bergenfield, NJ 07621-1805
Phone (201) 968-6112

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190510001557 NY Practitioner - Physical Therapist in Private Practice 5698016756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Boston University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinesioworks Physical Therapy PCGroup PAC ID 9739420894, 2 clinicians

Practice addresses (Care Compare)

1980 Amsterdam Ave
Unit 1B
New York, NY 10032-5058
Phone (718) 839-3046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kinesioworks LLC Physical Therapist Past Accepting new patients
Function in Motion Physical Therapy PC Physical Therapist PastSince Sep 18, 2021 Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

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": "1331337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1275808107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 DEERFIELD ST",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211805",
            "telephone_number": "201-968-6112",
            "fax_number": "201-561-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 AMSTERDAM AVE",
            "address_2": "UNIT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100325058",
            "telephone_number": "212-740-2049",
            "fax_number": "201-561-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STO TOMAS",
        "first_name": "HAZEL KATHERINE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-10",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026880",
            "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 Nov 30, 2021; 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.