Active NPI
Kayla Rutherford, PT
- Physical Therapist
- Latham, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 039650
- 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
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 | 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physio One Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Onondaga Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Thomas Nicolla Consulting Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Nicolla and Associates, PT & OT Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Onondaga Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Cynergy Physical Therapy, P.C. | Physical Therapist | Current | 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.
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-
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- NPI 1487633152
Physical Therapist
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- NPI 1548367139
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.