Organization Active NPI

Kurtz Physical Therapy Services, PC

  • Physical Therapist
  • Norwich, NY
National Provider Identifier
1306840905
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0097551 Issued in NY
Legal business name
KURTZ PHYSICAL THERAPY SERVICES, PC
Practice address
89 E Main St
Norwich, NY 13815-1537
Phone
(607) 336-3111
Fax
(607) 336-2311
NPI assigned
Jun 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Keith D. Kurtz, PTNPI 1912027079
Title
Physical Therapist
Phone
(607) 336-3111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 0097551 NY Primary

Addresses

Primary practice location

89 E Main St
Norwich, NY 13815-1537

Mailing address

89 E Main St
Norwich, NY 13815-1537
Phone (607) 336-3111

Other identifiers 1

IdentifierTypeStateIssuer
01125740MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306840905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 E MAIN ST",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151537",
            "telephone_number": "607-336-3111",
            "fax_number": "607-336-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 E MAIN ST",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151537",
            "telephone_number": "607-336-3111",
            "fax_number": "607-336-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURTZ PHYSICAL THERAPY SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KURTZ",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "607-336-3111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0097551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01125740",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.