Individual provider Active NPI

Kayla Rutherford, PT

  • Physical Therapist
  • Latham, NY
National Provider Identifier
1740654151
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
039650 Issued in NY
Practice address
711 Troy Schenectady Rd
Suite 214
Latham, NY 12110-2442
Phone
(518) 690-2882
Fax
(518) 690-2884
NPI assigned
Nov 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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 039650 NY Primary

Addresses

Primary practice location

711 Troy Schenectady Rd
Suite 214
Latham, NY 12110-2442

Mailing address

711 Troy Schenectady Rd
Suite 209
Latham, NY 12110-2442
Phone (518) 786-1667

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151215000031 NY Practitioner - Physical Therapist in Private Practice 2668773748 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
New York University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onondaga Physical Therapy, LLCGroup PAC ID 8325039365, 25 clinicians
Physio One Physical Therapy PLLCGroup PAC ID 4183122278, 7 clinicians

Practice addresses (Care Compare)

6265 State Route 31
Cicero, NY 13039-8751
Phone (315) 635-5000

8392 Oswego Rd
Liverpool, NY 13090-1002
Phone (315) 877-9747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physio One Physical Therapy PLLC Physical Therapist CurrentSince Jul 1, 2025 Accepting new patients
Onondaga Physical Therapy, LLC Physical Therapist CurrentSince Jul 27, 2020 Accepting new patients
Thomas Nicolla Consulting Services, PLLC Physical Therapist CurrentSince Nov 24, 2015 Accepting new patients
Nicolla and Associates, PT & OT Services, PLLC Physical Therapist CurrentSince Nov 24, 2015 Accepting new patients
Onondaga Physical Therapy Physical Therapist CurrentSince Jul 27, 2020 Accepting new patients
Cynergy Physical Therapy, P.C. Physical Therapist CurrentSince Oct 3, 2016 Accepting new patients
Onondaga Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

1367 Washington Ave
Ste 100
Albany, NY 12206
Phone (518) 438-7926

19 E Genesee St
Ste 103
Baldwinsville, NY 13027

6265 State Route 31
Cicero, NY 13039

6800 E Genesee St
Fayetteville, NY 13066
Phone (315) 446-4400

711 Troy Schenectady Rd
Ste 209
Latham, NY 12110
Phone (518) 786-1667

711 Troy Schenectady Rd
Ste 214
Latham, NY 12110
Phone (518) 690-2882

8392 Oswego Rd
Liverpool, NY 13090
Phone (315) 877-9747

8390 Oswego Rd
Liverpool, NY 13090
Phone (315) 652-4323

119 W 57th St
Ste 600
New York, NY 10019
Phone (212) 974-7252

7575 Buckley Rd
Syracuse, NY 13212
Phone (315) 635-0000

4107 W Genesee St
Ste 300
Syracuse, NY 13219
Phone (315) 877-9747

Organizations & group practices 7

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": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1740654151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD",
            "address_2": "SUITE 209",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102442",
            "telephone_number": "518-786-1667",
            "fax_number": "518-786-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD",
            "address_2": "SUITE 214",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102442",
            "telephone_number": "518-690-2882",
            "fax_number": "518-690-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "KAYLA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

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