Active NPI
Nicole Lynn Krawczeski, PT
- Physical Therapist
- Gloversville, NY
National Provider Identifier
1285817023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 021640-1
- Practice address
- 1165 County Highway 122
Gloversville, NY 12078-6131 - Phone
- (518) 725-1937
- NPI assigned
- Dec 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 021640-1 | NY | Primary |
Addresses
Primary practice location
1165 County Highway 122
Gloversville, NY 12078-6131
Mailing address
1165 County Highway 122
Gloversville, NY 12078-6131
Phone (518) 725-1937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171214000057 | NY | Practitioner - Physical Therapist in Private Practice | 0042578320 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nysarc Inc Fulton County Chapter
Practice addresses (Care Compare)
127 E State St
Gloversville, NY 12078-1204
Phone (518) 736-3937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021640 | NY | MD | Clinical Psychologist |
| 021640-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nysarc Inc Fulton County Chapter | Current | Accepting new patients | |
| Genesis Medical Health PC | Past | Accepting new patients |
Locations
127 E State St
Gloversville, NY 12078
Phone (518) 773-7931
465 N Perry St
Johnstown, NY 12095
Phone (518) 736-3937
Organizations & group practices 2
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.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Johnstown, NY
- NPI 1245309434
NY
-
- General Practice Physician
- Spring Valley, NY
- NPI 1295043099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197763200000",
"number": "1285817023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1165 COUNTY HIGHWAY 122",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "120786131",
"telephone_number": "518-725-1937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 COUNTY HIGHWAY 122",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "120786131",
"telephone_number": "518-725-1937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAWCZESKI",
"first_name": "NICOLE",
"middle_name": "LYNN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-16",
"last_updated": "2007-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "021640-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gloversville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.