Individual provider Active NPI

Krista L Fay, PT, DPT, MCMT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1851464424
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027446-1 Issued in NY
Practice address
136 E 57TH St
Suite #705
New York, NY 10022-2707
Phone
(212) 207-3177
Fax
(212) 207-2877
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 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 027446-1 NY Primary

Addresses

Primary practice location

136 E 57TH St
Suite #705
New York, NY 10022-2707

Mailing address

317 Brewery Rd
West Nyack, NY 10994-1214
Phone (845) 406-0304

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060316000195 NY Practitioner - Physical Therapist in Private Practice 2769499763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forte Physical Therapy PLLCGroup PAC ID 7517372139, 3 clinicians

Practice addresses (Care Compare)

20 Squadron Blvd
Suite 570
New City, NY 10956-5240
Phone (845) 536-2239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027446-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Forte Physical Therapy PLLC Physical Therapist CurrentSince May 1, 2022 Accepting new patients
Sportscare Physical Therapy of Ny, P.C. Physical Therapist CurrentSince Mar 1, 2017 Accepting new patients

Locations

410 Airport Executive Park
Nanuet, NY 10954
Phone (845) 356-2020

20 Squadron Blvd
Ste 570
New City, NY 10956

20 Squadron Blvd
Ste 550
New City, NY 10956
Phone (845) 536-2239

2 Perlman Dr
Spring Valley, NY 10977
Phone (845) 371-2032

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1851464424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 BREWERY RD",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941214",
            "telephone_number": "845-406-0304",
            "fax_number": "212-207-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 E 57TH ST",
            "address_2": "SUITE #705",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222707",
            "telephone_number": "212-207-3177",
            "fax_number": "212-207-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAY",
        "first_name": "KRISTA",
        "middle_name": "L",
        "credential": "PT, DPT, MCMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027446-1",
            "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 Mar 24, 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.