Amy Jean Kutka, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1303 Issued in AR

Practice address

1807 W Moline St
Malvern, AR 72104-2645

Phone

(501) 337-2731

NPI assigned

Apr 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kutka Physical Therapy

  • Physical Therapist
  • Malvern, AR
  • NPI 1790423788
  NPD Authorized official

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1366408007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 CATHERINE COVE LOOP",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721048363",
            "telephone_number": "501-337-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 W MOLINE ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721042645",
            "telephone_number": "501-337-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTKA",
        "first_name": "AMY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "1303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139280721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Kostelaz
• David Kosters, ASSOCIATE DIRECTORBO
• Heather Kosters, LPN
• Jason Kushner, LAC
• Kutka Physical Therapy
• Michelle Raynee Kveum, LPC
• Kimberly O Laflora, APRN, FNP-C
• Kristyn Lambert, APRN
• Antonina Land, MHPP
• Maria Lane, N.P

• Physical Therapist in Malvern, AR
• Providers in Malvern, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.