Individual provider Active NPI

Matthew Robert Kulpit, DPT

  • Physical Therapist
  • Grand Island, NY
National Provider Identifier
1821365826
Registry record updated Nov 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
034234 Issued in NY
Practice address
1801 Grand Island Blvd
Grand Island, NY 14072
Phone
(716) 773-4323
NPI assigned
Nov 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2011

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 034234 NY Primary

Addresses

Primary practice location

1801 Grand Island Blvd
Grand Island, NY 14072

Mailing address

43 Beehunter CT
Unit B
East Amherst, NY 14051
Phone (716) 725-2547

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120222000004 NY Practitioner - Physical Therapist in Private Practice 2466610415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Island Physical Therapy PCGroup PAC ID 6901825926, 19 clinicians

Practice addresses (Care Compare)

100 Union Rd
West Seneca, NY 14224-4656
Phone (716) 675-4444

1491 Sheridan Dr
Kenmore, NY 14217-1234
Phone (716) 871-1100

1801 Grand Island Blvd
Grand Island, NY 14072-2249
Phone (716) 773-4323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034234NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Island Physical Therapy PC Physical Therapist CurrentSince Jan 1, 2012 Accepting new patients

Locations

1801 Grand Island Blvd
Grand Island, NY 14072
Phone (716) 773-4323

3571 Niagara Falls Blvd
North Tonawanda, NY 14120
Phone (716) 694-1777

1491 Sheridan Dr
Tonawanda, NY 14217
Phone (716) 332-4476

Organizations & group practices 1

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": "1321660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321660800000",
    "number": "1821365826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 BEEHUNTER CT",
            "address_2": "UNIT B",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "14051",
            "telephone_number": "716-725-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 GRAND ISLAND BLVD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "14072",
            "telephone_number": "716-773-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULPIT",
        "first_name": "MATTHEW",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-19",
        "last_updated": "2011-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; 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.