Active NPI
Karly Mae Cairo, DPT
- Physical Therapist
- Bohemia, NY
National Provider Identifier
1609596766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 3920 Veterans Memorial Hwy Ste 13
Bohemia, NY 11716-1074 - Phone
- (631) 630-6485
- Fax
- (631) 630-6486
- NPI assigned
- Aug 30, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NY | Primary |
Addresses
Primary practice location
3920 Veterans Memorial Hwy Ste 13
Bohemia, NY 11716-1074
Mailing address
3920 Veterans Memorial Hwy Ste 13
Bohemia, NY 11716-1074
Phone (631) 630-6485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 049392 | Other | NY | PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- State University of New York at Stony Brook, School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3920 Veterans Memorial Hwy
Suite 13
Bohemia, NY 11716-1074
Phone (631) 630-6485
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049392 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Care Physical Therapy, PC | Physical Therapist | Current | Accepting new patients |
Locations
3920 Veterans Memorial Hwy
Ste 13
Bohemia, NY 11716
Phone (631) 630-6485
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.
-
- Physical Therapy Clinic/Center
- Bohemia, NY
- NPI 1528210390
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1609596766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920 VETERANS MEMORIAL HWY STE 13",
"city": "BOHEMIA",
"state": "NY",
"postal_code": "117161074",
"telephone_number": "631-630-6485",
"fax_number": "631-630-6486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 VETERANS MEMORIAL HWY STE 13",
"city": "BOHEMIA",
"state": "NY",
"postal_code": "117161074",
"telephone_number": "631-630-6485",
"fax_number": "631-630-6486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAIRO",
"first_name": "KARLY",
"middle_name": "MAE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-30",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "049392",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bohemia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.