Active NPI
Kalah Kaszanits
- Physical Therapist
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P17385
- Practice address
- 2675 Court Dr
Gastonia, NC 28054 - Phone
- (704) 824-7800
- Fax
- (704) 824-2822
- NPI assigned
- Aug 16, 2017
- 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 | P17385 | NC | Primary |
Addresses
Primary practice location
2675 Court Dr
Gastonia, NC 28054
Mailing address
2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800
Other practice location 1
1289 Oliver St
Fayetteville, NC 28304-4450
Phone (910) 483-8331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230524002367 | MD | Practitioner - Physical Therapist in Private Practice | 4981933405 | Reassigns benefits to 2 organizations |
| I20230622003469 | DC | Practitioner - Physical Therapist in Private Practice | 4981933405 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Breakaway Physical Therapy, LLC
Practice addresses (Care Compare)
2138 Priest Bridge CT
Suite 7
Crofton, MD 21114-2463
Phone (410) 721-6333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P17385 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab PT MD LLC | Physical Therapist | Current | Accepting new patients |
| Fox Rehabilitation Services LLC | Physical Therapist | Current | Accepting new patients |
| Breakaway Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Pediatric Developmental Therapy | Past | Accepting new patients | |
| Pediatric Developmental Therapy | Physical Therapist | Past | Accepting new patients |
Locations
2138 Priest Bridge Ct
Ste 7
Crofton, MD 21114
Phone (301) 807-8972
11665 Doolittle Dr
Waldorf, MD 20602
Phone (301) 638-4100
7 Carnegie Plz
Cherry Hill, NJ 08003
Organizations & group practices 5
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.
-
- Physical Therapist
- Crofton, MD
- NPI 1780077784
MD, Physical Therapist
-
- Physical Therapist
- Winchester, VA
- NPI 1609814755
DC, Physical Therapist
-
- Rehabilitation Practitioner
- Fayetteville, NC
- NPI 1710183991
-
- Speech-Language Pathologist
- Fayetteville, NC
- NPI 1730137779
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1790201358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 COURT DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280541478",
"telephone_number": "704-824-7800",
"fax_number": "704-824-2822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2675 COURT DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "28054",
"telephone_number": "704-824-7800",
"fax_number": "704-824-2822"
}
],
"practiceLocations": [
{
"address_1": "1289 Oliver St",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283044450",
"country_code": "US",
"telephone_number": "910-483-8331",
"fax_number": "910-483-8335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KASZANITS",
"first_name": "KALAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-16",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P17385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.