Individual provider Active NPI

Kimberly Meyers, PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1881727899
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
028438 Issued in NY
Practice address
1221 Avenue of the Americas 49TH St
New York, NY 10020
Phone
(646) 562-0617
Fax
(212) 302-1106
NPI assigned
Mar 13, 2007
Last updated
Dec 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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 028438 NY Primary

Addresses

Primary practice location

1221 Avenue of the Americas 49TH St
New York, NY 10020

Mailing address

1385 Boston Post Rd
Larchmont, NY 10538-3933
Phone (914) 315-1800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080606000373 NY Practitioner - Physical Therapist in Private Practice 5799855458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
New York Medical College, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

584 N State Rd
Briarcliff Manor, NY 10510-1522
Phone (914) 762-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
028438NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Dec 1, 2018 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Dec 1, 2018 Accepting new patients

Locations

584 N State Rd
Briarcliff Manor, NY 10510
Phone (914) 762-2222

550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737

157 S Central Ave
Hartsdale, NY 10530
Phone (914) 428-9698

600 Bank Rd
Jefferson Vly, NY 10535
Phone (914) 245-8807

412 Market St
Nanuet, NY 10954
Phone (347) 741-3619

175 Memorial Hwy
Ste 2-3
New Rochelle, NY 10801
Phone (914) 235-5354

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1881727899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 BOSTON POST RD",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383933",
            "telephone_number": "914-315-1800",
            "fax_number": "914-315-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 AVENUE OF THE AMERICAS 49TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10020",
            "telephone_number": "646-562-0617",
            "fax_number": "212-302-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "KIMBERLY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028438",
            "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 Dec 9, 2013; 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.