Individual provider Active NPI

Nicole Laura Kariam, MSPT

  • Physical Therapist
  • Binghamton, NY
National Provider Identifier
1407134307
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
020310-1 Issued in NY
Practice address
435 Glenwood Rd
Binghamton, NY 13905-1606
Phone
(607) 763-3425
Fax
(607) 763-3214
NPI assigned
Jul 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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 020310-1 NY Primary

Addresses

Primary practice location

435 Glenwood Rd
Binghamton, NY 13905-1606

Mailing address

435 Glenwood Rd
Binghamton, NY 13905-1606
Phone (607) 763-3425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
020310-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1407134307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 GLENWOOD RD",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139051606",
            "telephone_number": "607-763-3425",
            "fax_number": "607-763-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 GLENWOOD RD",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139051606",
            "telephone_number": "607-763-3425",
            "fax_number": "607-763-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARIAM",
        "first_name": "NICOLE",
        "middle_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020310-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.