Active NPI
Kathryn Piraino
- Physical Therapist
- Depew, NY
National Provider Identifier
1700460458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 047847
- Practice address
- 5087 Broadway Ste 100
Depew, NY 14043-4013 - Phone
- (716) 354-3212
- NPI assigned
- May 10, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 020326 | OH | |
| Physical Therapist | 225100000X | 047847 | NY | Primary |
Addresses
Primary practice location
5087 Broadway Ste 100
Depew, NY 14043-4013
Mailing address
5087 Broadway Ste 100
Depew, NY 14043-4013
Phone (716) 354-3212
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020326 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impulse Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
5087 Broadway
Ste 100
Depew, NY 14043
Phone (716) 354-3212
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
- Depew, NY
- NPI 1083328934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1700460458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5087 BROADWAY STE 100",
"city": "DEPEW",
"state": "NY",
"postal_code": "140434013",
"telephone_number": "716-354-3212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5087 BROADWAY STE 100",
"city": "DEPEW",
"state": "NY",
"postal_code": "140434013",
"telephone_number": "716-354-3212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIRAINO",
"first_name": "KATHRYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-10",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "020326",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "047847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Depew, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.