Individual provider Active NPI

Katelyn Marie Cusmiani, DPT

  • Physical Therapist
  • Rockaway Park, NY
National Provider Identifier
1295019917
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
034259 Issued in NY
Practice address
11915 Rockaway Beach Blvd
Rockaway Park, NY 11694-1970
Phone
(718) 634-3211
NPI assigned
Sep 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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 034259 NY Primary

Addresses

Primary practice location

11915 Rockaway Beach Blvd
Rockaway Park, NY 11694-1970

Mailing address

11915 Rockaway Beach Blvd
Rockaway Park, NY 11694-1970
Phone (917) 680-9760

Other practice location 1

86-11 Rockaway Beach Blvd
Rockaway Park, NY 11694-1970
Phone (718) 634-1737

Other practice location 2

419 Beach 138th St
Belle Harbor, NY 11694-1341
Phone (917) 680-9760

Other practice location 3

16111 Crossbay Blvd
Howard Beach, NY 11414-3442
Phone (718) 843-3211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111111000073 NY Practitioner - Physical Therapist in Private Practice 0143494096 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockaway Beach Physical Therapy of Ny, PLLCGroup PAC ID 9436436193, 7 clinicians

Practice addresses (Care Compare)

11915 Rockaway Beach Blvd
Rockaway Park, NY 11694-1970
Phone (718) 634-3211

Merit-based Incentive Payment System (MIPS)

Final score
49.35 of 100Reported as group
Quality
0
Improvement activities
40
Cost
64.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034259NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Ny Physical Therapy of Staten Island PLLC Current Accepting new patients
Beach Ny Physical Therapy of Howard Beach PLLC Physical Therapist CurrentSince Apr 24, 2026 Accepting new patients

Locations

16111 Crossbay Blvd
Howard Beach, NY 11414
Phone (718) 843-3211

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • 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": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1295019917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11915 ROCKAWAY BEACH BLVD",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116941970",
            "telephone_number": "917-680-9760",
            "fax_number": "718-634-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11915 ROCKAWAY BEACH BLVD",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116941970",
            "telephone_number": "718-634-3211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86-11 Rockaway Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Rockaway Park",
            "state": "NY",
            "postal_code": "116941970",
            "country_code": "US",
            "telephone_number": "718-634-1737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 Beach 138th St",
            "address_purpose": "LOCATION",
            "city": "Belle Harbor",
            "state": "NY",
            "postal_code": "116941341",
            "country_code": "US",
            "telephone_number": "917-680-9760",
            "fax_number": "917-680-9760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16111 Crossbay Blvd",
            "address_purpose": "LOCATION",
            "city": "Howard Beach",
            "state": "NY",
            "postal_code": "114143442",
            "country_code": "US",
            "telephone_number": "718-843-3211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUSMIANI",
        "first_name": "KATELYN",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2022-04-06",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.