Individual provider Active NPI

Anna Kalivoda

  • Physical Therapist
  • Binghamton, NY
National Provider Identifier
1740154566
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
054968-01 Issued in NY
Practice address
1333 Front St
Binghamton, NY 13901-1149
Phone
(607) 648-4646
NPI assigned
Oct 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 054968-01 NY Primary

Addresses

Primary practice location

1333 Front St
Binghamton, NY 13901-1149

Mailing address

1333 Front St
Binghamton, NY 13901-1149

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251208000901 NY Practitioner - Physical Therapist in Private Practice 8022501071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of Ny Upstate Medical University, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chenango Bridge Physical Therapy PCGroup PAC ID 4385738244, 2 clinicians

Practice addresses (Care Compare)

1333 Front St
Binghamton, NY 13901-1149
Phone (607) 648-4646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
054968NYMDSocial Worker
054968-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chenango Bridge Physical Therapy, P.C. Physical Therapist CurrentSince Oct 15, 2025 Accepting new patients

Locations

1333 Front St
Binghamton, NY 13901
Phone (607) 648-4646

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.

NPI Registry JSON

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

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1740154566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 FRONT ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139011149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 FRONT ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139011149",
            "telephone_number": "607-648-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALIVODA",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "054968-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.