Active NPI
Devon Kuntzsch
- Physical Therapist
- Ridge, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 045265-01
- Practice address
- 679 Whiskey Rd
Ridge, NY 11961-8352 - Phone
- (631) 821-8090
- Fax
- (631) 821-8366
- NPI assigned
- Dec 5, 2019
- Last updated
- Dec 5, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 045265-01 | NY | Primary |
Addresses
Primary practice location
679 Whiskey Rd
Ridge, NY 11961-8352
Mailing address
679 Whiskey Rd
Ridge, NY 11961-8352
Phone (631) 821-8090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- State University of New York at Stony Brook, School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New York University
Practice addresses (Care Compare)
322 W Main St
Patchogue, NY 11772-3008
Phone (631) 228-4977
550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
9785 Queens Blvd
Rego Park, NY 11374-3319
Phone (718) 261-9100
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.35 of 100
- Quality
- 73.31
- Improvement activities
- 40
- Cost
- 73.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045265-01 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Advantage Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Medcare Therapy Services:Physical, Occupational & Massage Therapy,PLLC | Physical Therapist | Current | Accepting new patients |
| Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC | Physical Therapist | Current | Accepting new patients |
Locations
800 E Gate Blvd
Garden City, NY 11530
50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545
322 W Main St
Patchogue, NY 11772
Phone 5167458070520
11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300
679 Whiskey Rd
Ridge, NY 11961
Phone (631) 821-4313
Organizations & group practices 3
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.
-
- Occupational Therapist
- Garden City, NY
- NPI 1356742365
Physical Therapist
-
- Physical Therapist
- Oceanside, NY
- NPI 1134454119
-
- Physical Therapist
- Holbrook, NY
- NPI 1326355132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575504000000",
"number": "1891332102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "679 WHISKEY RD",
"city": "RIDGE",
"state": "NY",
"postal_code": "119618352",
"telephone_number": "631-821-8090",
"fax_number": "631-821-8366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "679 WHISKEY RD",
"city": "RIDGE",
"state": "NY",
"postal_code": "119618352",
"telephone_number": "631-821-8090",
"fax_number": "631-821-8366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNTZSCH",
"first_name": "DEVON",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-05",
"last_updated": "2019-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "045265-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridge, NY
- Kenneth James Kelley, OTR/L
- Kaylee Kelly
- Rachael Kirk, TEACHER SPECIAL EDU
- Kathryn E Klecan, RN
- Eva M Koerick, LPN
- Debra M Latzen, RN
- Eileen Leighton, OTR/L
- Leisure Village Medical Services PLLC (Leisure Village Primary Care (LVPC))
- Barbara Frances Lenihan, OT
- Leo F Katz (OTOhealth Hearing Care Centers)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.