Active NPI
Jadwida Kutyla, PT
- Orthopedic Physical Therapist
- New York, NY
National Provider Identifier
1740516244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 015905-1
- 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
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 |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 015905-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sigal Physical Therapy, P.C. | Orthopedic | Current | Accepting new patients |
| E-W Physical Therapy PC | Orthopedic | Current | 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.