Individual provider Active NPI

Kathryn Merrily Maykish, DPT

  • Orthopedic Physical Therapist
  • New York, NY
National Provider Identifier
1902325921
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
041918 Issued in NY
Practice address
110 E 42ND St RM 1504
New York, NY 10017-8541
Phone
(212) 354-2622
Fax
(212) 354-2752
NPI assigned
Sep 11, 2017
Last updated
Oct 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 041918 NY Primary

Addresses

Primary practice location

110 E 42ND St RM 1504
New York, NY 10017-8541

Mailing address

307 5TH Ave FL 6
New York, NY 10016-6575
Phone (212) 759-2282

Other practice location 1

143 E 34th St
New York, NY 10016-4713
Phone (646) 841-1400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171107001356 NY Practitioner - Physical Therapist in Private Practice 8022374180 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
New York Medical College, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Pelvic Group PT PLLCGroup PAC ID 3678909363, 10 clinicians

Practice addresses (Care Compare)

139 Fulton St
RM 1012
New York, NY 10038-2515
Phone (929) 269-2505

286 Madison Ave
Suite 1601
New York, NY 10017-6374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spear Physical and Occupational Therapy, LLC Orthopedic CurrentSince Oct 16, 2017 Accepting new patients
Beyond Basics Physical Therapy CurrentSince Oct 13, 2019 Accepting new patients
Pelvic Group PT PLLC Orthopedic CurrentSince May 1, 2024 Accepting new patients

Locations

110 E 42nd St
Rm 1504
New York, NY 10017
Phone 2123542622 ext. 406

120 E 56th St
Rm 1010
New York, NY 10022
Phone (646) 790-7466

143 E 34th St
New York, NY 10016
Phone (646) 841-1400

286 Madison Ave
Ste 1601
New York, NY 10017
Phone (631) 741-3369

307 5th Ave
Fl 6
New York, NY 10016
Phone (646) 790-7464

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.

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1902325921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 5TH AVE FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166575",
            "telephone_number": "212-759-2282",
            "fax_number": "212-379-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 42ND ST RM 1504",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100178541",
            "telephone_number": "212-354-2622",
            "fax_number": "212-354-2752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "143 E 34th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100164713",
            "country_code": "US",
            "telephone_number": "646-841-1400",
            "fax_number": "212-379-2118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYKISH",
        "first_name": "KATHRYN",
        "middle_name": "MERRILY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "041918",
            "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 Oct 1, 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.

Verify at the official NPI Registry.