Individual provider Active NPI

Kara Lauren Mortifoglio, PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1801121967
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
031451 Issued in NY
Practice address
286 Madison Ave
Ste 1601
New York, NY 10017-6374
Phone
(929) 269-2505
Fax
(929) 290-0350
NPI assigned
Oct 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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 031451 NY Primary

Addresses

Primary practice location

286 Madison Ave
Ste 1601
New York, NY 10017-6374

Mailing address

286 Madison Ave Ste 1601
New York, NY 10017-6374
Phone (929) 269-2505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150623000377 NY Practitioner - Physical Therapist in Private Practice 7012228729 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Pelvic Group PT PLLCGroup PAC ID 3678909363, 10 clinicians

Practice addresses (Care Compare)

139 Fulton St
RM 1012
New York, NY 10038-2515
Phone (929) 269-2505

286 Madison Ave
Suite 1601
New York, NY 10017-6374

50 E 42ND St
RM 2100
New York, NY 10017-5415
Phone (929) 269-2505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ke PT & OT PLLC Physical Therapist Current Accepting new patients
Pelvic Group PT PLLC Physical Therapist CurrentSince Dec 24, 2019 Accepting new patients
Edward J. Gorecki, DC, PLLC PastSince Jun 8, 2025 Accepting new patients

Locations

286 Madison Ave
Ste 1601
New York, NY 10017
Phone (631) 741-3369

Organizations & group practices 3

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": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1801121967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 MADISON AVE STE 1601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176374",
            "telephone_number": "929-269-2505",
            "fax_number": "888-714-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 MADISON AVE",
            "address_2": "STE 1601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176374",
            "telephone_number": "929-269-2505",
            "fax_number": "929-290-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTIFOGLIO",
        "first_name": "KARA",
        "middle_name": "LAUREN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-07",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.

Verify at the official NPI Registry.