Individual provider Active NPI

Maida Kapo

  • Physical Therapist
  • New Hartford, NY
National Provider Identifier
1437578911
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030573 Issued in NY
Practice address
8688 Tibbitts Rd
New Hartford, NY 13413-5224
Phone
(315) 542-4024
NPI assigned
Apr 10, 2014
Last updated
Dec 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24395 FL
Physical Therapist 225100000X 7088 SC
Physical Therapist 225100000X 030573 NY Primary

Addresses

Primary practice location

8688 Tibbitts Rd
New Hartford, NY 13413-5224

Mailing address

8688 Tibbitts Rd
New Hartford, NY 13413-5224
Phone (315) 542-4024

Other names 1

  • Maida Harmon Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211208002455 NY Practitioner - Physical Therapist in Private Practice 2062802952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Rehabilitation LLPGroup PAC ID 4789843376, 114 clinicians

Practice addresses (Care Compare)

1 Johnsarbor Dr W
Rochester, NY 14620-3636
Phone (585) 532-7214

118 Genesee St
New Hartford, NY 13413-2358
Phone (315) 508-7639

500 N Columbus Ave
Mount Vernon, NY 10552-1335
Phone (914) 266-3796

6055 Armor Duells Rd
Orchard Park, NY 14127-3150
Phone (716) 508-3026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24395FLMDGeneral Practice Dentistry
7088SCMDOccupational Therapist
030573NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Rehabilitation LLP CurrentSince Nov 2, 2021 Accepting new patients

Locations

500 N Columbus Ave
Mount Vernon, NY 10552
Phone (914) 266-3796

1 Johnsarbor Dr W
Rochester, NY 14620
Phone (585) 532-7214

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1437578911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8688 TIBBITTS RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134135224",
            "telephone_number": "315-542-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8688 TIBBITTS RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134135224",
            "telephone_number": "315-542-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPO",
        "first_name": "MAIDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "24395",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7088",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAIDA",
            "last_name": "HARMON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Hartford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.