Active NPI
Kadarra Angelica Psathas
- Physical Therapist
- Bethpage, NY
National Provider Identifier
1730857384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 4080 Hempstead Tpke
Bethpage, NY 11714-5604 - Phone
- (516) 862-3358
- NPI assigned
- Aug 31, 2021
- Last updated
- Oct 2, 2024
- 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 | Primary |
Addresses
Primary practice location
4080 Hempstead Tpke
Bethpage, NY 11714-5604
Mailing address
PO Box 7672
Freeport, NY 11520-0760
Phone (516) 205-9752
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 |
|---|---|---|---|
| 048117 | NY | MD | General Practice Dentistry |
| 26505 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1730857384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7672",
"city": "FREEPORT",
"state": "NY",
"postal_code": "115200760",
"telephone_number": "516-205-9752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 HEMPSTEAD TPKE",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117145604",
"telephone_number": "516-862-3358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PSATHAS",
"first_name": "KADARRA",
"middle_name": "ANGELICA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-31",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethpage, NY
- Prohealth Care Associates LLP
- Prohealth Care Associates, LLP (Bethpage Medical Laboratory A Division of ProHealth Care Associates, LLP)
- Protzel Oral & Maxillofacial Surgery, LLP
- Peter Evan Protzel, DDS, MD
- Arnold S Prywes, M.D.
- Brian Michael Pultz, M.D.
- Gina M Puma
- Rakesh Kumar Punn, MD
- Pure Body Therapeutic Acupuncture and Massage Therapy PC
- Paulina S Pyzik, PHARMD.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.