Individual provider Active NPI

Kathleen Ann Haddican, P.T.

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1306935994
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007452-1 Issued in NY
Practice address
813 Quentin Rd
Suite 106
Brooklyn, NY 11223-2251
Phone
(718) 627-8100
Fax
(718) 336-1962
NPI assigned
Oct 12, 2006
Sex
Female
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 007452-1 NY Primary

Addresses

Primary practice location

813 Quentin Rd
Suite 106
Brooklyn, NY 11223-2251

Mailing address

813 Quentin Rd
Suite 106
Brooklyn, NY 11223-2251
Phone (718) 627-8100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090713000018 NY Practitioner - Physical Therapist in Private Practice 1759433329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York Downstate Medical Center, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwood Physical Therapy of Brooklyn, PCGroup PAC ID 0941386684, 4 clinicians

Practice addresses (Care Compare)

813 Quentin Rd
Suite 106
Brooklyn, NY 11223-2219
Phone (718) 627-8100

Merit-based Incentive Payment System (MIPS)

Final score
24.79 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
82.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007452NYMDMental Health Counselor
007452-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Occupational Therapy and Physical Therapy of Brooklyn, PLLC Physical Therapist CurrentSince Feb 1, 2026 Accepting new patients

Locations

813 Quentin Rd
Brooklyn, NY 11223
Phone (718) 283-6430

813 Quentin Rd
Ste 1
Brooklyn, NY 11223

813 Quentin Rd
Ste 106
Brooklyn, NY 11223
Phone (718) 627-8100

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306935994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 QUENTIN RD",
            "address_2": "SUITE 106",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232251",
            "telephone_number": "718-627-8100",
            "fax_number": "718-336-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 QUENTIN RD",
            "address_2": "SUITE 106",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232251",
            "telephone_number": "718-627-8100",
            "fax_number": "718-336-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDICAN",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "007452-1",
            "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 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.