Active NPI
Kinesioworks Physical Therapy, P.C.
- Physical Therapist
- New York, NY
National Provider Identifier
1487110888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- KINESIOWORKS PHYSICAL THERAPY, P.C.
- Practice address
- 1980 Amsterdam Ave # 1B
New York, NY 10032-5058 - Phone
- (212) 740-2049
- Fax
- (917) 388-3417
- NPI assigned
- Feb 11, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hazel Marucut Sto Tomas, PT, DPT
- Title
- Doctor of Physical Therapy
- Phone
- (718) 839-3046
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1980 Amsterdam Ave # 1B
New York, NY 10032-5058
Mailing address
38 Deerfield St
Bergenfield, NJ 07621-1805
Phone (201) 968-6112
Other practice location 1
435 Fort Washington Ave
New York, NY 10033-3506
Phone (718) 839-3046
Other practice location 2
171 Madison Ave Rm 1000
New York, NY 10016-5121
Phone (718) 839-3046
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05357539 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1980 Amsterdam Ave
#1B
New York, NY 10032
Phone (212) 740-2049
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Bronx, NY
- NPI 1841407103
-
- Physical Therapist
- New York, NY
- NPI 1275808107
-
- Physical Therapist
- Flushing, NY
- NPI 1174300305
-
- Physical Therapist
- Jersey City, NJ
- NPI 1356089882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613606400000",
"number": "1487110888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 DEERFIELD ST",
"city": "BERGENFIELD",
"state": "NJ",
"postal_code": "076211805",
"telephone_number": "201-968-6112",
"fax_number": "201-561-0158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1980 AMSTERDAM AVE # 1B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100325058",
"telephone_number": "212-740-2049",
"fax_number": "917-388-3417"
}
],
"practiceLocations": [
{
"address_1": "435 Fort Washington Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100333506",
"country_code": "US",
"telephone_number": "718-839-3046",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "171 Madison Ave Rm 1000",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100165121",
"country_code": "US",
"telephone_number": "718-839-3046",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KINESIOWORKS PHYSICAL THERAPY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-11",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A",
"authorized_official_last_name": "STO TOMAS",
"authorized_official_first_name": "HAZEL",
"authorized_official_middle_name": "MARUCUT",
"authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
"authorized_official_telephone_number": "718-839-3046",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05357539",
"state": "NY"
}
],
"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 Feb 18, 2021; 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.