Active NPI
Laurie Kadet, P.T., MA
- Physical Therapist
- Bronx, NY
National Provider Identifier
1790711653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5103-1
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8669594 | Other | NY | CIGNA |
| 0125092 | Other | NY | AETNA HMO |
| GS144 | Other | NY | OXFORD |
| 00850459 | Medicaid | NY | |
| 20067P | Other | NY | HIP |
| 20225601 | Other | NY | ORTHONET/AETNA |
| 211501 | Other | NY | UNITED HEALTHCARE |
| 1000002641 | Other | NY | AFFINITY (BX HEALTH PLAN) |
| 4567922 | Other | NY | AETNA PPO |
Other names 1
- Therapeutic Interventions
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5103-1 | NY | MD | Physical 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.