Individual provider Active NPI

Natalee Kan, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1285612960
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
019879 Issued in NY
Practice address
3060 Ocean Ave.
Brooklyn, NY 11235-3354
Phone
(347) 816-7557
Fax
(718) 269-0029
NPI assigned
Jan 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 19879 NY
Physical Therapist 225100000X
Acupuncturist 171100000X 007050 NY
Physical Therapist 225100000X 019879 NY Primary

Addresses

Primary practice location

3060 Ocean Ave.
Brooklyn, NY 11235-3354

Mailing address

1120 Brighton Beach Ave. #32
Brooklyn, NY 11235
Phone (347) 816-7557

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040810001049 NY Practitioner - Physical Therapist in Private Practice 2567434558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1120 Brighton Beach Ave
Apt 3Z
Brooklyn, NY 11235-5508
Phone (347) 816-7557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19879NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Physical Therapy PLLC Acupuncturist CurrentSince Oct 7, 2009 Accepting new patients
Prime Fitness Physical Therapy PC Physical Therapist PastSince Nov 1, 2007 Accepting new patients
Exclusive Family Medical Care PC PastSince Nov 13, 2018 Accepting new patients
New York Physical and Occupational Therapy PLLC Physical Therapist Past Accepting new patients
New York Physical and Occupational Therapy PLLC Physical Therapist Past Accepting new patients

Organizations & group practices 5

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1285612960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 BRIGHTON BEACH AVE. #32",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "347-816-7557",
            "fax_number": "888-552-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 OCEAN AVE.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353354",
            "telephone_number": "347-816-7557",
            "fax_number": "718-269-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAN",
        "first_name": "NATALEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "19879",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007050",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.