Organization Active NPI

Kingston Physical Therapy and Sports Rehab PC

  • Physical Therapist
  • Kingston, NY
National Provider Identifier
1720158900
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KINGSTON PHYSICAL THERAPY AND SPORTS REHAB PC
Practice address
340 Plaza Rd
Kingston, NY 12401-2975
Phone
(845) 339-4722
Fax
(845) 339-5730
NPI assigned
Nov 8, 2006
Last updated
Aug 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Authorized official

Name
Gerard T. Cuffe, PT DPTNPI 1992874242
Title
President
Phone
(845) 339-4722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NY Primary

Addresses

Primary practice location

340 Plaza Rd
Kingston, NY 12401-2975

Mailing address

340 Plaza Rd
Kingston, NY 12401-2975
Phone (845) 339-4722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050609001017 NY Part B Supplier - Clinic/Group Practice 9830132885 Receives reassigned benefits from 6 practitioners
Practice locations: Kingston, NY

National Provider Directory

National Provider Directory

Locations

340 Plaza Rd
Kingston, NY 12401
Phone (845) 339-4139

743 E Chester St
Kingston, NY 12401
Phone (845) 331-1103

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1720158900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 PLAZA RD",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012975",
            "telephone_number": "845-339-4722",
            "fax_number": "845-339-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 PLAZA RD",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012975",
            "telephone_number": "845-339-4722",
            "fax_number": "845-339-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSTON PHYSICAL THERAPY AND SPORTS REHAB PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "CUFFE",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-339-4722",
        "authorized_official_credential": "PT DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.