Individual provider Active NPI

Karly Mae Cairo, DPT

  • Physical Therapist
  • Bohemia, NY
National Provider Identifier
1609596766
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Sep 6, 2022

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 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

IdentifierTypeStateIssuer
049392OtherNYPT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221122000668 NY Practitioner - Physical Therapist in Private Practice 5991173015 Reassigns benefits to 1 organization

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
Proactive Care Physical Therapy, PCGroup PAC ID 9133276058, 4 clinicians

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

LicenseStateTypeSpecialty
049392NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Care Physical Therapy, PC Physical Therapist CurrentSince Oct 1, 2022 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.

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.

Verify at the official NPI Registry.