Individual provider Active NPI

John Kenneth Kuss, PT, DPT, MTC

  • Physical Therapist
  • Central Square, NY
National Provider Identifier
1285783647
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
012711 Issued in NY
Practice address
124 US Route 11
Central Square, NY 13036-9760
Phone
(315) 668-0123
Fax
(315) 668-0124
NPI assigned
Jan 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 012711 NY Primary

Addresses

Primary practice location

124 US Route 11
Central Square, NY 13036-9760

Mailing address

4323 Forestbrook Dr
Liverpool, NY 13090-2413
Phone (315) 715-0203

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040913000232 NY Practitioner - Physical Therapist in Private Practice 2668449596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kuss Physical Therapy PLLCGroup PAC ID 5395712228, 5 clinicians

Practice addresses (Care Compare)

124 US Route 11
Central SQ, NY 13036-9760
Phone (315) 668-0123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
012711NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kuss Physical Therapy PLLC Physical Therapist CurrentSince Aug 25, 2004 Accepting new patients

Locations

124 US Route 11
Central Square, NY 13036
Phone (315) 668-0123

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285783647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 FORESTBROOK DR",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130902413",
            "telephone_number": "315-715-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 US ROUTE 11",
            "city": "CENTRAL SQUARE",
            "state": "NY",
            "postal_code": "130369760",
            "telephone_number": "315-668-0123",
            "fax_number": "315-668-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSS",
        "first_name": "JOHN",
        "middle_name": "KENNETH",
        "credential": "PT, DPT, MTC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Square, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.