Active NPI
Joanna M Kulis, PT
- Physical Therapist
- Jamaica, NY
National Provider Identifier
1811208978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0313951
- Practice address
- 10825 Merrick Blvd
Jamaica, NY 11433-2906 - Phone
- (718) 658-9700
- Fax
- (718) 658-9703
- NPI assigned
- Jun 23, 2010
- 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 | 0313951 | NY | Primary |
Addresses
Primary practice location
10825 Merrick Blvd
Jamaica, NY 11433-2906
Mailing address
10825 Merrick Blvd
Jamaica, NY 11433-2906
Phone (718) 658-9700
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0313951 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453852800000",
"number": "1811208978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10825 MERRICK BLVD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114332906",
"telephone_number": "718-658-9700",
"fax_number": "718-658-9703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10825 MERRICK BLVD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114332906",
"telephone_number": "718-658-9700",
"fax_number": "718-658-9703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULIS",
"first_name": "JOANNA",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-23",
"last_updated": "2016-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0313951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.