Individual provider Active NPI

Amanpreet Kaur, PT, MBA

  • Physical Therapist
  • New York, NY
National Provider Identifier
1386476331
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
052900-01 Issued in NY
Practice address
1995 Broadway FL 14
New York, NY 10023-5882
Phone
(917) 621-5052
NPI assigned
Aug 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 014331 NY
Physical Therapist 225100000X 052900-01 NY Primary

Addresses

Primary practice location

1995 Broadway FL 14
New York, NY 10023-5882

Mailing address

1460 Carroll St Apt 1a
Brooklyn, NY 11213-4421
Phone (917) 257-6808

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240923002208 NY Practitioner - Physical Therapist in Private Practice 2365983921 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
052900NYMDPharmacist
052900-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
S2 Physical Therapy P.C. Physical Therapist CurrentSince Sep 17, 2024 Accepting new patients

Locations

1 Bridge St
Ste 71
Irvington, NY 10533
Phone (914) 375-3434

1995 Broadway
Fl 14
New York, NY 10023
Phone (212) 712-2006

1995 Broadway
Fl 15
New York, NY 10023
Phone (212) 712-2006

Organizations & group practices 1

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": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1386476331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 CARROLL ST APT 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134421",
            "telephone_number": "917-257-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 BROADWAY FL 14",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235882",
            "telephone_number": "917-621-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "AMANPREET",
        "credential": "PT, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "014331",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052900-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.