Active NPI
Kathleen Ann Ghizzoni, PT, DPT
- Pediatric Physical Therapist
- Schenectady, NY
National Provider Identifier
1629221890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 009268-1
- Practice address
- 14 Ida LN
Schenectady, NY 12303-4992 - Phone
- (518) 356-8060
- Fax
- (518) 357-2764
- NPI assigned
- Oct 31, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 009268-1 | NY | Primary |
| Early Intervention Provider Agency | 252Y00000X | 009268-1 | NY |
Addresses
Primary practice location
14 Ida LN
Schenectady, NY 12303-4992
Mailing address
14 Ida LN
Schenectady, NY 12303-4992
Phone (518) 356-8060
Other names 1
- Miss Kathleen Ann Powers
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009268-1 | NY | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339372800000",
"number": "1629221890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 IDA LN",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123034992",
"telephone_number": "518-356-8060",
"fax_number": "518-357-2764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 IDA LN",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123034992",
"telephone_number": "518-356-8060",
"fax_number": "518-357-2764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHIZZONI",
"first_name": "KATHLEEN",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-31",
"last_updated": "2012-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "009268-1",
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "009268-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "POWERS",
"middle_name": "ANN",
"prefix": "MISS",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.