Individual provider Active NPI

Kathleen Graustein, PT

  • Physical Therapist
  • Garden City, NY
National Provider Identifier
1750610259
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005466 Issued in NY
Practice address
1101 Stewart Ave
Garden City, NY 11530-4892
Phone
(516) 536-3800
Fax
(516) 992-4722
NPI assigned
Dec 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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 005466 NY Primary

Addresses

Primary practice location

1101 Stewart Ave
Garden City, NY 11530-4892

Mailing address

1728 Sunrise Hwy
Merrick, NY 11566-3745
Phone (516) 992-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
77.16 of 100Reported as group
Quality
70
Improvement activities
40
Cost
78.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005466NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
True North Medical Group PC Physical Therapist CurrentSince Jan 1, 2018 Accepting new patients
True North Medical Group PC CurrentSince Jan 1, 2018 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic CurrentSince Jun 1, 2019 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Physical Therapist CurrentSince Jun 1, 2019 Accepting new patients

Locations

1101 Stewart Ave
Garden City, NY 11530
Phone (516) 794-2835

444 Merrick Rd
Lynbrook, NY 11563
Phone (516) 536-3800

1728 Sunrise Hwy
Merrick, NY 11566
Phone (516) 992-4568

36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570

Organizations & group practices 4

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": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1750610259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 SUNRISE HWY",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663745",
            "telephone_number": "516-992-4700",
            "fax_number": "516-992-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 STEWART AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304892",
            "telephone_number": "516-536-3800",
            "fax_number": "516-992-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAUSTEIN",
        "first_name": "KATHLEEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-11",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "005466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.