Individual provider Active NPI

Maryan Kauta, PT, DPT

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1851069413
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT029819 Issued in PA
Practice address
10125 Verree Rd Ste 100
Philadelphia, PA 19116-3611
Phone
(215) 464-8900
NPI assigned
Aug 31, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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 PT029819 PA Primary

Addresses

Primary practice location

10125 Verree Rd Ste 100
Philadelphia, PA 19116-3611

Mailing address

8949 Turton Dr
Philadelphia, PA 19115-4503
Phone (267) 515-7225

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascent Home Care Inc Current Accepting new patients
Absolute Therapy Care LLC Physical Therapist CurrentSince Sep 2, 2021 Accepting new patients

Locations

10125 Verree Rd
Ste 100
Philadelphia, PA 19116
Phone (215) 464-8900

Organizations & group practices 2

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": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1851069413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8949 TURTON DR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154503",
            "telephone_number": "267-515-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10125 VERREE RD STE 100",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163611",
            "telephone_number": "215-464-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUTA",
        "first_name": "MARYAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.