Active NPI
John Kaiteris
- Physical Therapist
- Pomona, NY
National Provider Identifier
1912304502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 038437
- Practice address
- 14 Thiells Mount Ivy Rd
Suite 2
Pomona, NY 10970-3021 - Phone
- (845) 694-8808
- Fax
- (845) 694-8809
- NPI assigned
- Nov 25, 2014
- Sex
- Male
- 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 | 038437 | NY | Primary |
Addresses
Primary practice location
14 Thiells Mount Ivy Rd
Suite 2
Pomona, NY 10970-3021
Mailing address
16 Maybrook Rd
Suite L
Campbell Hall, NY 10916-2743
Phone (845) 636-4344
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 |
|---|---|---|---|
| 038437 | NY | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1912304502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 MAYBROOK RD",
"address_2": "SUITE L",
"city": "CAMPBELL HALL",
"state": "NY",
"postal_code": "109162743",
"telephone_number": "845-636-4344",
"fax_number": "845-636-4355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 THIELLS MOUNT IVY RD",
"address_2": "SUITE 2",
"city": "POMONA",
"state": "NY",
"postal_code": "109703021",
"telephone_number": "845-694-8808",
"fax_number": "845-694-8809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAITERIS",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-25",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "038437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.