Phani Jaya Sree Kaza, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

032443 Issued in NY

Practice address

260 Middle Country Rd
BLDG.3, Suite 9-a
Selden, NY 11784-2568

Phone

(631) 732-1600

Fax

(631) 732-7872

NPI assigned

Apr 19, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• American Medical Company

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
  • NPI 1053859207
  NPD (past)
• American Medical Inc.

  • Home Health Agency
  • Selden, NY
  • NPI 1568646347
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1871883249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 VILLAGE DR",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011048",
            "telephone_number": "916-753-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MIDDLE COUNTRY RD",
            "address_2": "BLDG.3, SUITE 9-A",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842568",
            "telephone_number": "631-732-1600",
            "fax_number": "631-732-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZA",
        "first_name": "PHANI",
        "middle_name": "JAYA SREE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Kane, DDS
• Ayman Abdel Karim
• Steven A Karmel, D.M.D., F.A.G.D.
• Linda Kaszuba
• Shalini Kathuria
• Keith J Pennetti P.T., PC
• Kalli Rose Kelley, RN
• Sarah Kelly, L.M.T.
• Suzie Jean Kennedy, LPN
• Daniele J Kenny, MD

• All providers in Selden, NY
• Physical Therapist in New York

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