Individual provider Active NPI

Kaitlyn Nicole Flaitz, DC

  • Chiropractor
  • Mount Kisco, NY
National Provider Identifier
1659967347
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X013576-01 Issued in NY
Practice address
101 S Bedford Rd Ste 204
Mount Kisco, NY 10549-3456
Phone
(607) 382-0915
Fax
(914) 666-3374
NPI assigned
Dec 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 002208 CT
Chiropractor 111N00000X X013576-01 NY Primary

Addresses

Primary practice location

101 S Bedford Rd Ste 204
Mount Kisco, NY 10549-3456

Mailing address

101 S Bedford Rd Ste 204
Mount Kisco, NY 10549-3456
Phone (607) 382-0915

Other practice location 1

101 S Bedford Rd Ste 204
Mount Kisco, NY 10549-3456
Phone (607) 382-0915

Other practice location 2

879 Commerce St
Thornwood, NY 10594-1415
Phone (914) 481-5900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230808000552 NY Practitioner - Chiropractic 5193137768 Reassigns benefits to 1 organization
Practice locations: Mount Kisco, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Rye Brook Physical Medicine and Rehabilitation PCGroup PAC ID 0042504383, 4 clinicians

Practice addresses (Care Compare)

879 Commerce St
Thornwood, NY 10594-1415
Phone (914) 481-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002208CTMDChiropractor
X013576-01NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rye Brook Physical Medicine and Rehabilitation, P.C. CurrentSince Aug 13, 2024 Accepting new patients
Saunders and Eble Chiropractors P.C Chiropractor PastSince Nov 13, 2022 Accepting new patients

Locations

879 Commerce St
Thornwood, NY 10594
Phone (914) 481-5900

Organizations & group practices 2

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": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1659967347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S BEDFORD RD STE 204",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493456",
            "telephone_number": "607-382-0915",
            "fax_number": "914-666-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S BEDFORD RD STE 204",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493456",
            "telephone_number": "607-382-0915",
            "fax_number": "914-666-3374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S Bedford Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Mount Kisco",
            "state": "NY",
            "postal_code": "105493456",
            "country_code": "US",
            "telephone_number": "607-382-0915",
            "fax_number": "914-666-3374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "879 Commerce St",
            "address_purpose": "LOCATION",
            "city": "Thornwood",
            "state": "NY",
            "postal_code": "105941415",
            "country_code": "US",
            "telephone_number": "914-481-5900",
            "fax_number": "914-481-5902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLAITZ",
        "first_name": "KAITLYN",
        "middle_name": "NICOLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2024-03-12",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "002208",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013576-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.