Active NPI
Kyle Sultzer
- Physical Therapist
- Cambridge, MA
National Provider Identifier
1881012698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19246
- Practice address
- 1575 Cambridge St # 9
Cambridge, MA 02138-4308 - Phone
- (617) 952-6815
- NPI assigned
- Mar 31, 2014
- Last updated
- Mar 31, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 19246 | MA | Primary |
Addresses
Primary practice location
1575 Cambridge St # 9
Cambridge, MA 02138-4308
Mailing address
1575 Cambridge St # 9
Cambridge, MA 02138-4308
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 |
|---|---|---|---|
| 19246 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396224000000",
"number": "1881012698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 CAMBRIDGE ST # 9",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021384308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 CAMBRIDGE ST # 9",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021384308",
"telephone_number": "617-952-6815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULTZER",
"first_name": "KYLE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-31",
"last_updated": "2014-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "19246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.