Individual provider Active NPI

Laurie Kadet, P.T., MA

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1790711653
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5103-1 Issued in NY
Practice address
3202 Bainbridge Ave
Suite D
Bronx, NY 10467-3947
Phone
(718) 881-9525
Fax
(718) 405-2267
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 5103-1 NY Primary

Addresses

Primary practice location

3202 Bainbridge Ave
Suite D
Bronx, NY 10467-3947

Mailing address

3202 Bainbridge Ave
Suite D
Bronx, NY 10467-3947
Phone (718) 881-9525

Other identifiers 9

IdentifierTypeStateIssuer
8669594OtherNYCIGNA
0125092OtherNYAETNA HMO
GS144OtherNYOXFORD
00850459MedicaidNY
20067POtherNYHIP
20225601OtherNYORTHONET/AETNA
211501OtherNYUNITED HEALTHCARE
1000002641OtherNYAFFINITY (BX HEALTH PLAN)
4567922OtherNYAETNA PPO

Other names 1

  • Therapeutic Interventions Professional name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5103-1NYMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790711653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 BAINBRIDGE AVE",
            "address_2": "SUITE D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104673947",
            "telephone_number": "718-881-9525",
            "fax_number": "718-405-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 BAINBRIDGE AVE",
            "address_2": "SUITE D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104673947",
            "telephone_number": "718-881-9525",
            "fax_number": "718-405-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADET",
        "first_name": "LAURIE",
        "name_prefix": "Mrs.",
        "credential": "P.T., MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "5103-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8669594",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0125092",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "GS144",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00850459",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "20067P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET/AETNA",
            "identifier": "20225601",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "211501",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY (BX HEALTH PLAN)",
            "identifier": "1000002641",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4567922",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERAPEUTIC",
            "last_name": "INTERVENTIONS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.