Individual provider Active NPI

Kevin L. Sulkey, BS, P.T.A.

  • Physical Therapy Assistant
  • Albany, NY
National Provider Identifier
1619107612
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
003246-1 Issued in NY
Practice address
747 Madison Ave
# 1
Albany, NY 12208-3809
Phone
(518) 443-2279
NPI assigned
Jul 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 003246-1 NY Primary

Addresses

Primary practice location

747 Madison Ave
# 1
Albany, NY 12208-3809

Mailing address

747 Madison Ave
# 1
Albany, NY 12208-3809
Phone (518) 443-2279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
003246-1NYMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1619107612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 MADISON AVE",
            "address_2": "# 1",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083809",
            "telephone_number": "518-443-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 MADISON AVE",
            "address_2": "# 1",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083809",
            "telephone_number": "518-443-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULKEY",
        "first_name": "KEVIN",
        "middle_name": "L.",
        "credential": "BS, P.T.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "003246-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.