Individual provider Active NPI

Jadwida Kutyla, PT

  • Orthopedic Physical Therapist
  • New York, NY
National Provider Identifier
1740516244
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
015905-1 Issued in NY
Practice address
450 7TH Ave
Suite 302
New York, NY 10123-0101
Phone
(212) 594-6054
Fax
(212) 594-5915
NPI assigned
Oct 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 015905-1 NY Primary

Addresses

Primary practice location

450 7TH Ave
Suite 302
New York, NY 10123-0101

Mailing address

450 7TH Ave
Suite 302
New York, NY 10123-0101
Phone (212) 594-6054

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100209000271 NY Practitioner - Physical Therapist in Private Practice 2365585635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
E-W Physical Therapy PCGroup PAC ID 3678750940, 2 clinicians
Sigal Physical Therapy, P.C.Group PAC ID 4981743770, 3 clinicians

Practice addresses (Care Compare)

1957 Coney Island Ave
Brooklyn, NY 11223-2328
Phone (718) 874-3568

1959 Coney Island Ave
Brooklyn, NY 11223-2328
Phone (718) 339-0011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015905-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sigal Physical Therapy, P.C. Orthopedic CurrentSince Jan 9, 2026 Accepting new patients
E-W Physical Therapy PC Orthopedic CurrentSince Sep 17, 2014 Accepting new patients

Locations

1957 Coney Island Ave
Brooklyn, NY 11223
Phone (718) 339-0011

Organizations & group practices 2

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": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1740516244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 7TH AVE",
            "address_2": "SUITE 302",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101230101",
            "telephone_number": "212-594-6054",
            "fax_number": "212-594-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 7TH AVE",
            "address_2": "SUITE 302",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101230101",
            "telephone_number": "212-594-6054",
            "fax_number": "212-594-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTYLA",
        "first_name": "JADWIDA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "015905-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.