Individual provider Active NPI

Kaitlyn M Zaino, DPT

  • Physical Therapist
  • Clifton Park, NY
National Provider Identifier
1619445301
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
043862 Issued in NY
Practice address
1 Barney Rd Ste 120
Clifton Park, NY 12065-5823
Phone
(518) 373-0735
Fax
(518) 373-7967
NPI assigned
Nov 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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 043862 NY Primary

Addresses

Primary practice location

1 Barney Rd Ste 120
Clifton Park, NY 12065-5823

Mailing address

PO Box 11471
Albany, NY 12211-0471
Phone (518) 373-0735

Other names 1

  • Kaitlyn Mulvaney Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181206003126 NY Practitioner - Physical Therapist in Private Practice 4183968886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nje PT Movement PLLCGroup PAC ID 9739408295, 18 clinicians

Practice addresses (Care Compare)

86 Main Ave
Wynantskill, NY 12198-7541
Phone (518) 326-0702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043862NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nje PT Movement PLLC Physical Therapist CurrentSince Aug 30, 2023 Accepting new patients

Locations

506 Campbell Ave
Troy, NY 12180
Phone (518) 203-6761

290 Speigletown Rd
Troy, NY 12182
Phone (518) 279-2740

86 Main Ave
Wynantskill, NY 12198
Phone (518) 326-0702

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": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1619445301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11471",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122110471",
            "telephone_number": "518-373-0735",
            "fax_number": "518-373-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARNEY RD STE 120",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120655823",
            "telephone_number": "518-373-0735",
            "fax_number": "518-373-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAINO",
        "first_name": "KAITLYN",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "MULVANEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.