Active NPI
Kae Loraine Gersava
- Physical Therapist
- Middletown, NY
National Provider Identifier
1679417679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 041827-01
- Practice address
- 21 Riverside Dr
Middletown, NY 10941-4048 - Phone
- (845) 695-5600
- NPI assigned
- Apr 18, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 041827-01 | NY | Primary |
Addresses
Primary practice location
21 Riverside Dr
Middletown, NY 10941-4048
Mailing address
10 Kensington Way
Middletown, NY 10940-2104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
171 Kings Hwy
Brooklyn, NY 11223
171 Kings Hwy
Brooklyn, NY 11223-1023
554 Larkfield Rd
Suite 207
East Northport, NY 11731-4271
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041827-01 | NY | MD | Physical Therapist |
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.
-
- Physical Therapist
- East Northport, NY
- NPI 1487786158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776470400000",
"number": "1679417679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 KENSINGTON WAY",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109402104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 RIVERSIDE DR",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109414048",
"telephone_number": "845-695-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERSAVA",
"first_name": "KAE LORAINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-18",
"last_updated": "2026-04-18",
"certification_date": "2026-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "041827-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2026; 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.