Deborah Carol Kassan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

013974-01 Issued in NY

Practice address

457 Clay Pitts Road
East Northport, NY 11731

Phone

(917) 776-1543

NPI assigned

Sep 30, 2020

Last updated

Sep 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

New York University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimum Therapeutics PT and OT PLLCGroup PAC ID 5991977712, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optimum Therapeutics PT & OT PLLC

  • Physical Therapist
  • Melville, NY
  • NPI 1972882322
  Medicare reassignment Care Compare group NPD
• Propel Physical Therapy PC

  • Physical Therapist
  • Greenvale, NY
  • NPI 1619519972
  NPD (past)

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1528675899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 CLAY PITTS RD",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117313821",
            "telephone_number": "917-776-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 CLAY PITTS ROAD",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "11731",
            "telephone_number": "917-776-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSAN",
        "first_name": "DEBORAH",
        "middle_name": "CAROL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "9742070",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013974-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Kalinowski
• Jungrim Seo Kang
• Kapson Senior Quarters Corp. (East Northport)
• Brian Karafa, DPT
• Marlene Noumoff Kasman, PHD
• Jesse Katz
• Arnold N. Katzoff, M.D.
• Elise Hope Kaufman
• Kelly Kavanaugh, M.S. ED.
• Alexis Kelly

• Physical Therapist in East Northport, NY
• Providers in East Northport, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.