Aneta Kaczmarski, DPT
Individual provider Active NPI Physical Therapist · Water Mill, NY
NPI 1922526565 · NPPES record last updated Aug 2, 2022
Key facts
- NPI
- 1922526565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 048765 (NY)
- Practice address
- 760 Montauk Hwy
Water Mill, NY 11976-2600 - Phone
- (631) 812-5566
- NPI assigned
- Sep 5, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008370-1 | NY | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 048765 | NY | Yes |
| Physical Therapy Assistant | 225200000X | 008370-1 | NY |
Addresses
Primary practice location
760 Montauk Hwy
Water Mill, NY 11976-2600
Mailing address
1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (142) 944-0509
Other practice location 1
1780 Majors Path
Southampton, NY 11968-2415
Phone (516) 668-8687
Other providers in Water Mill, NY
- Erin Ford
- Laura Gagliardo
- Nicole Elizabeth Gambino
- Gertrud Elisabeth Hoertnagl-Pereira
- David C Hou
- Caleigh Marie Kiembock
- Ryan Kroeger
- Charlotte Laguardia
- Richard M. Lawless
- Anthony Lombardo
All providers in Water Mill, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.